The purpose of this job is to provide oversight of the claims’ submittal process by correctly adjudicating claims to the Terms of Agreement with the service provider. The claims auditor aims to support the organization by controlling cost and providing a fair and timely claims process to both Assurant and the Service Provider. The objective is to bring systematic, disciplined processes to evaluate and improve the effectiveness of risk management and controls

Job Responsibilities

• Identify and adjudicate negligent, fraudulent, or inappropriate claims by analyzing the content of claims captured systematically in various audit panels and queues. This also requires frequent customer audits. Includes overseeing team shared email box, team chat, and similar on rotation, and managing multiple email queues.
• Ownership and responsibility for specific audit queues or panels
• Conduct individual and batch claims research to determine if claimed amounts meet company and/or business rules. Identify specific patterns of behavior and report to management with correction action plans, including specific types of agreement violations, specific vendor issues, specific brands, or model issues. Identify agent or vendor training needs specifically focused on reducing claim errors or negligent claims and provide management with a plan on how to address.
• Makes decisions on claim payments, complex claims issues are reviewed with senior claims auditor or management
• Performs work that is varied and somewhat difficult in nature. Selects from a variety of established procedures to accomplish assigned tasks.
• Works under supervision.
• Limited analysis of historical claims associated with trends or patterns identified in various audit panels.

Basic Qualifications

• High School Diploma
• 2+ years’ experience with claim adjudication, servicer repair service management, or service administration of major electronics, major appliances, or other similar products.
• Knowledge and demonstrated process improvement skills in claims processing and auditing
• Working knowledge of Service Repair Industry, claim processing environments and team collaboration
• Problem solving skills, with an attention to detail
• Basic Computer skills with Office Software Products
• Ability to multitask
• Critical thinking and negotiating skills
• Ability to effectively communicate to external and internal team members, clients, and management

Preferred Skills

• 2 year AS/AA degree
• 3+ years experience with claim adjudication, servicer repair service management, or service administration of major electronics, major appliances, or other similar products.
• Knowledge and demonstrated process improvement skills in claims processing and auditing
• Basic knowledge and experience in the use of Microsoft office tools, including Excel, Word, and PowerPoint
• Experience in negotiation and decision making independently

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Pay Range:

Any posted pay range considers a wide range of compensation factors, including candidate background, experience and work location, while also allowing for salary growth within the position.

If there is no posting end date listed then this is a pipeline requisition, and we will continue to collect applications on an ongoing basis.

Helping People Thrive in a Connected World
Connect with us. Bring us your best work and your brightest ideas. And we’ll bring you a place where you can thrive. Learn more at jobs.assurant.com.

For U.S. benefit information, visit myassurantbenefits.com. For benefit information outside the U.S., please speak with your recruiter.

What’s the culture like at Assurant?
Our unique culture is a big reason why talented people choose Assurant. Named a Best/Great Place to Work in 15 countries and awarded the Fortune America’s Most Innovative Companies recognition, we bring together top talent around the world. Although we have a wide variety of skills and experiences, we share common characteristics that are uniquely Assurant. A passion for service. An ability to innovate in practical ways. And a willingness to take chances. We call our culture The Assurant Way.

Company Overview
Assurant is a leading global business services company that supports, protects, and connects major consumer purchases. A Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world’s leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products.

Equal Opportunity Statement
Assurant is an Equal Employment Opportunity employer and does not use or consider race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local law in employment decisions.

Job Scam Alert
Please be aware that during Assurant's application process, we will never ask for personal information such as your Social Security number, bank account details, or passwords. Learn more about what to look out for and how to report a scam here.