Property Claims Quality Assurance Supervisor (Remote)
Company: California FAIR Plan Association
Location: Los Angeles
Posted on: April 1, 2026
|
|
|
Job Description:
POSITION SUMMARY The Claims Quality Assurance Supervisor leads a
team of Quality Assurance Representatives or Quality Analysts. This
role is responsible for reviewing claim files for accuracy,
compliance with policies and procedures, as well as CA Department
of Insurance guidelines. This role will also include managing
communications with the Department of Insurance as well as
assisting with coverage analysis for Claims Examiners. PRINCIPAL
DUTIES & RESPONSIBILITIES • Assist the Claims Quality Assurance
Manager in managing and leading the Quality Assurance Department. •
Collaborate with and support Claims Quality Analysts and QA
Representative teams to maintain the daily workflow across the
Quality Assurance Department. • Hire, train, and coach Quality
Assurance Representatives and Claims Quality Analysts. • Provide
file data for file reviews and maintain the audit platform. •
Direct and oversee file reviews and Department of Insurance
complaint responses. • Provide feedback/results/trends to Claims
Examiners, Supervisor, Managers, and Claims Quality Manager based
on review results and findings and make recommendations for
training or improvement • Review, analyze, and provide suggestions
for claim handling practices handled by Desk Examiners and
Independent Adjusters. Review repair estimates for technical
accuracy and adherence to industry/CFP guidelines/standards, as
well as client requirements. • Compile estimate revision requests
and coordinate with network contractors to obtain estimate
corrections. • Verify file documentation is included for completion
of the review process. • Create and maintain workbooks,
questionnaires, processes, and training materials to promote
accuracy and consistency. • Take lead on various projects,
including but not limited to QA software and report implementation.
• Manage CEA Liaisons and support CEA training and reporting. •
Adhere to Federal and State laws and regulation. • Any other duties
needed to help fulfill the Associations Mission, abide by the
Association’s Values, and fulfill the Association’s Strategic
Objectives. EDUCATION & EXPERIENCE • Bachelor’s degree or
equivalent preferred. • Strong knowledge of property claims.
Minimum of 5-10 years’ property insurance claims experience, 2
years of Quality Assurance experience and 1 year of supervisory
experience. • Strong organizational, file management and time
management skills. • Attention to detail; ability to prioritize and
strong decision-making skills. • Excellent written and oral
communication skills. • Adaptability and demonstrated ability to
manage change. • Working experience with MS-Office (especially Word
and Excel) is required. • Proficient in the Xactimate estimating
program. • Certified in CEA and Fair Claims Settlement
Practices.
Keywords: California FAIR Plan Association, Yucaipa , Property Claims Quality Assurance Supervisor (Remote), Accounting, Auditing , Los Angeles, California
