QA Claims Administrator
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Job Description
Quality Assurance Administrator supporting franchise network by ensuring compliance and quality standards in insurance claims processing. Reviewing files, monitoring metrics, and collaborating with teams.
Responsibilities:
- Review insurance claim files in systems such as Xactanalysis to ensure compliance with carrier SLAs and internal standards
- Monitor performance metrics and identify trends or recurring compliance issues
- Follow up with franchise locations on quality and compliance gaps, and escalate issues when necessary
- Manage the QA inbox and internal communications (Teams), ensuring timely and accurate responses
- Support the Quality Assurance team with administrative and coordination tasks
- Assist during catastrophe (CAT) events, helping manage increased claim volumes and operational demands
- Maintain a strong understanding of client SLA requirements and compliance programs
Requirements:
- 1–2 years of experience in an administrative, insurance, or claims-related role
- Experience in property restoration or insurance is an asset
- Strong proficiency in Microsoft Excel, including pivot tables, VLOOKUP, and reporting
- Familiarity with carrier SLAs and KPI tracking is an asset
- Excellent attention to detail and ability to manage repetitive, high-volume tasks
- Strong organizational and time management skills
- Clear and professional written and verbal communication skills
- Ability to take initiative, work independently, and follow through on tasks
- Analytical mindset with strong problem-solving abilities
- Computer literacy with MS Office Suite (Word, Excel, PowerPoint), SharePoint, Adobe, etc.)
- The ability to work under pressure
- Exceptional attention to detail, sound decision-making ability
- Ability to conceptualize
- Self-driven
- Ability to work office equipment (fax, scanner, printer, copier, phone system, computers)
- Ability to work independently and make decisions
- Maintain a high level of confidentiality
Benefits:
- RRSP
- Competitive salary
- Health insurance
- Opportunity for advancement
- Training & development
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