Quality Control Specialist Supervisor

About the role

This job is primarily responsible for performing compliance functions as found in the Standard Re-Insurance Agreement (SRA). Comprised of all SRA required reviews and claim reviews. In some cases, this job will coordinate with claims personnel to ensure timely completion of reviews and expedite claim processing.

Responsibilities

• Supervision oversight of the approval and processing of compliance reviews (APH Reviews, Claim Reviews, other internal reviews)
• Analyzing completed reviews and supporting documentation to make an independent determination of whether or not the review is complete pursuant to RMA rules and guidelines
• Providing consultation and expert advice to both adjusters and quality control review personnel regarding RMA rules and guidelines as well as AgriSompo proprietary systems and processes
• Approving and processing compliance reviews, which includes analyzing documents provided by the insured, supporting policy documentation and field reviews to make an independent determination of whether the underlying documentation supports the applicable compliance review
• Analyzing and providing recommendations regarding quality control review documentation, including whether the documentation is reasonable, accurate, and conforms to RMA prescribed policies and procedures
• Ensuring accurate and timely processing of Quality Control Reviews to expedite claim processing by developing systems and processes to prioritize significant or sensitive matters that include researching each Quality Control Review in order to make decisions or recommendations (as applicable) on status and next steps on each review
• Providing training to compliance staff, underwriters, and claims processors relative to internal review process
• Aiding in management of all compliance related reviews as well as the development and revision of policies and procedures for the general operation of the Quality Control department
• Providing regular reports to National Compliance managers and review supervisors
• Collaborating and testing IT fixes and enhancements related to Quality Control processes
• Providing strong customer service to both internal and external customers
• Supporting Quality Control Supervisors by assigning and/or reassigning compliance reviews to Field Compliance Reviewers, as needed
• Overseeing staffing activities (hiring, training, employee performance management, promotions, corrective actions, terminations, etc.)

Requirements

Associate’s Degree in Agriculture or similar field preferred. 2-3 years’ experience with Multi-Peril Crop Insurance in Claims auditing and/or underwriting preferred. Effective interpersonal, oral and written communication skills with the ability to interact with all levels of people within and outside the organization. Proficiency in computer skills, including working knowledge of Microsoft Office Suite. – Outlook, pdf program. Strong attention to detail. Ability to successfully handle multiple assignments and coordinate several projects with changing priorities. Ability to work both autonomously and effectively in a team environment.

Qualifications

None specified.

Skills

Strong attention to detail. Ability to successfully handle multiple assignments and coordinate several projects with changing priorities. Ability to work both autonomously and effectively in a team environment.

Benefits

Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution
Pharmacy benefits with mail order options
Dental benefits including orthodontia benefits for adults and children
Vision benefits
Health Care & Dependent Care Flexible Spending Accounts
Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children
Company-paid Disability benefits with very competitive salary continuation payments
401(k) Retirement Savings Plan with competitive employer contributions
Competitive paid-time-off programs, including company-paid holidays
Competitive Parental Leave Benefits & Adoption Assistance program
Employee Assistance Program
Tax-Free Commuter Benefit
Tuition Reimbursement & Professional Qualification benefits

Pay

Competitive, high-quality compensation and benefit programs to eligible employees.

Schedule

Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.