Senior Claims Auditor
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Job Description
Senior Claims Auditor reviewing complex crop insurance claims for AgriSompo North America. Auditing files, resolving issues, and supporting agents, producers, and underwriting teams.
Responsibilities:
- Review and process medium to complex crop insurance claim files accurately and efficiently
- Deliver customer service to agents and producers
- Serve as a subject matter expert in at least one area of claims auditing
- Provide guidance and expertise to colleagues
- Audit and process claims timely and accurately to meet quality production standards
- Communicate with underwriters, adjusters, agents, and producers to resolve claim-related issues
- Work independently and collaboratively to identify problems and determine solutions
- Recommend appropriate communication of claim resolutions
- Use Loss Adjustment Manuals, policy provisions, Standard Operating Procedures, and internal resources to solve problems
- Ensure compliance with Federal, State, and internal policies and procedures
- Research and resolve complex claims issues while maintaining accuracy and consistency
Requirements:
- Preferred minimum of 5 years of crop insurance experience
- Proven experience in crop insurance claims auditing and processing preferred
- Knowledge of Federal Crop Insurance Corporation (FCIC) policies
- Knowledge of company policies, procedures, and related software
- Proficiency with Microsoft Office Suite and general technical/computer systems
- Effective interpersonal, oral, written, and communication skills
- Ability to interact with internal and external customers
- Ability to understand and apply Loss Adjustment Manuals, policy provisions, Standard Operating Procedures, and other internal resources
- Ability to audit all levels of Crop Claim types and process moderate to advanced claims
- Ability to research and resolve complex claims issues with limited supervision
- Ability to work sedentary duties and sit or stand constantly/continuously
- Ability to travel for meetings and trainings
Benefits:
- Two medical plans, including a Traditional PPO and Consumer Driven Health Plan with Health Savings Account and employer contribution
- Pharmacy benefits with mail order options
- Dental benefits including orthodontia benefits for adults and children
- Vision benefits
- Health Care and Dependent Care Flexible Spending Accounts
- Company-paid Life and AD&D benefits, with optional supplemental life coverage
- Company-paid Disability benefits with salary continuation payments
- 401(k) Retirement Savings Plan with competitive employer contributions
- Paid time off programs, including company-paid holidays
- Parental Leave Benefits and Adoption Assistance program
- Employee Assistance Program
- Tax-Free Commuter Benefit
- Tuition Reimbursement and Professional Qualification benefits
- Incentive awards under the pay-for-performance compensation program
- Remote work arrangement
- Travel for meetings and trainings
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