Claims Auditor Manager in WFH-North Carolina at National General Insurance

Date Posted: 10/1/2021

Job Snapshot

Job Description

Primary Purpose:

Supervise and direct the review of claim files within an autonomous unit to ensure they meet defined file quality standards as defined by internal and external requirements, in an objective and consistent manner for the Claims Department.  Ensure claim file reviews address opportunities for improvement and provide feedback in a positive learning environment, with the goal being continuous improvement.  Train, develop and provide technical guidance to Auditors.   

Essential Duties and Responsibilities:

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

  • Assist in audit process & schedule development, implementation, modification and management
  • Provide guidance & direction to team on the technical aspects of auditing, data analysis and reporting 
  • Responsible for the proper assignment, completion of audits and reporting within a set time period
  • Partner with Claims management at all levels, Compliance, Training and process leaders to ensure optimal calibration around claims handling quality expectations and opportunity areas for improvement
  • Lead and participate in complex projects, special events and group presentations as needed
  • Coach and counsel others on strengths and areas of opportunity by providing feedback and valuing other perspectives
  • Auditor hiring, administration, performance management and salary changes
  • Assist with budget development and manage unit expenses

Minimum Skills and Competencies:

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
  • High degree of initiative, mature judgment and discretion
  • Effective verbal and written communication skills, strong active listening, persuasion and negotiation skills
  • Effective planning, organizational, time management and project management skills
  • Thorough knowledge of policies & procedures, claims handling processes, and state legal and regulatory issues
  • Solid knowledge in any combination of the following technical areas: coverage and liability assessment, material damage estimatics, property/homeowners, RV, PIP, bodily injury claims and/or resolving claims in litigation
  • Solid understanding of global company knowledge and totality of impact of decisions
  • Solid understanding of the insurance industry and organizational relationships of the company
  • Solid understanding of the functions of other departments (i.e. Policy Ops, Marketing, Finance)
  • Solid skills in Microsoft Office (Word, Excel, Outlook, PowerPoint)
  • Able to manage remote employees across the country effectively

Desired Skills:

  • Effective skills in leadership
  • 7+ years of experience in Insurance Corporate Claims Auditor position
  • Successful completion in one or more of the following areas: CPCU, LPCS (legal principles), AIC (Associate in Claims), AIM (Associate in Management), CIA (Certified Internal Auditor), SLCA (Senior Claims Law Associate which includes FCLS-fraud, PCLS-property, CCLS-casualty and LPCS-legal principles) and/or Advanced Educational Degree (MBA, JD, etc)

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.

In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

Job Requirements

About National General Holdings:

National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

National General is a fast paced, dynamic, and entrepreneurial organization. Our team members live by and exemplify what we call the 4Es. At National General, we are Energized, Engaged, Empowered, and we Execute every day in order to provide an exceptional experience for our customers! We are passionate about our organization and the value that we add every day. A successful candidate with National General will embody the 4Es. Our team is poised to outperform the competition. We are National General Insurance and with us you can be extraordinary! Come join our team!

Companies and Partners

Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.

In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:

• Paid Training
• Medical, Dental, Vision benefits
• Wellness Programs
• Life and Short/Long Term Disability Insurance
• 401k w/ Company Match
• Company Paid Holidays & Generous Time-off policy
• Employee Discount Program
• Career Advancement and Development Opportunities
• On-site Healthcare Clinic (Winston-Salem and Cleveland offices)
• On-site Fitness Center (Cleveland and Dallas offices)
• Subsidized parking (Cleveland office)

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.

In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.