employment.htm - Quincymutual

The Accounting Operations Analyst position will support the daily functions for premiums and claims processes within the accounting group. They will apply learned business knowledge to identify billing and payment exceptions using query and Sequel Viewpoint. They must be accurate, detail oriented, analytical, and innovative to review data and identify trends with key performance indicators (KPI’s) that support future enhancements to the billing system and overall processes within department operations. This role will collaborate with a variety of stakeholders within the company on project planning, testing and procedural changes. Strong communication skills focused on customer service to achieve successful business outcomes with customers, agents, and internal stakeholders and resolve billing and payment exceptions. The individual in this role will work to advance their own knowledge and train others in Sequel skills for research and reporting.

Devise and evaluate query or procedures to identify exceptions that ensure data integrity.

Share Sequel knowledge and skills with peers and collaborate with cross-functional teams, bringing an enhanced understanding of available data, analyses, and process improvements.

Prepare quarterly management report on billing and payment statistics using Excel and Sequel.

Use of spreadsheets, including pivot tables, macros, and import/export functions to improve workflows.

Participate in company projects, user acceptance testing and prepare methods to identify exception handling.

Write System Information Requests for IT group to investigate exception items with support data.

Create basic cost-benefit analysis for recommendations to improve processes or to add functionality to systems.

Review incoming electronic payment files and refer to underwriting for decision-making.

Understand billing and payment history to respond to customer and agent inquiries.

Build, encrypt, send, retrieve, and decrypt files for the purposes of EFT, E-bill and E-payment processes. Adapt to changing processes resulting from file automation and scheduling.

Facilitate the direct mailing of claims checks, support void process and update knowledge of processes as new payment initiatives are implemented.

Review daily reporting to understand and process policy status transactions, moves and write-offs.

Operate the Canon remittance processor including the end of day ICL process and reporting.

Follow an approval process for accepting late payments and detail activity using notepad.

Respond to phone calls, emails, and correspondence by listening and responding to customers’ needs professionally.

Prepare correspondence addressing billing changes resulting from payment returns or incomplete enrollment forms.

Bachelor’s Degree in Business Administration with Concentration in Accounting, Finance or Management Information Systems, preferred.

The Assistant Vice President of Claims is responsible for leading and motivating the managers and staff of the Auto and Subrogation Claims Unit within the Claims organization. The large unit is comprised of auto physical damage, first/third party injury, and subrogation. The Assistant Vice President will execute programs to ensure fair and appropriate handling of Claims while maintaining high service and performance standards. They ensure their unit follows regulations and Company policy. The Assistant Vice President of Claims serves as a leader who positively influences their unit to adapt to change, creates an environment of teamwork, and entrepreneurial spirit. Provides technical direction to their unit and others in the Claims organization. As a member of the leadership team, the Assistant Vice President will interact throughout the organization to ensure their division contributes to the long-term success of Quincy Mutual Group. The Assistant Vice President of Claims sets the desired environment through demonstrations of accountability to the results and perception of the division, professionalism in all interactions, owns their personal development, and displays humility toward improving their performance and contributions to the Company.

Commits to establishing the short- and long-term direction for their unit based on vision set by VP of Claims, accurate data, personal observation, known competitive advantages, set business goals, available resources, and provided budget.

Establish realistic goals in connection with corporate objectives that ensure the department supports overall growth and profitability.

Designs standards and metrics to ensure that loss cost goals are achieved while ensuring that quality and service standards are maintained and enhanced.

Partner with Underwriting Leadership to ensure continuous two-way communication relating to claim advisories, coverage issues, and staff development.

Ensures appropriate processes are followed for accurate and consistent reserving and claim settlements. This includes timely and appropriate resolution of demands, handling total losses, answering complaints, and adjudication of claims.

Holds large loss meetings to ensure proper review and consideration of large / complex claims and to provide a training opportunity for staff and emerging leaders.

Creates collaborative relationship with Quality Assurance and Trainer to support appropriate training and corrective action to quality assessments.

Able to understand the vision from multiple perspectives, adapting communication & actions to guide others.

Hire, develop, and manage staff to create an engaged, motivated, high performing results-oriented team.

Create and maintain a positive culture that promotes empowerment, encourages staff to challenge the status quo and identify areas of improvement, and fosters an entrepreneurial spirit.

Assess existing employees’ skills and competencies ensuring talent is aligned with company’s strategic vision.

Drive learning and development through working with officers, managers, and staff to identify strengths and development needs of individuals and the department. Regularly discuss plans, encourage career development opportunities, and champion initiatives for staff growth.

Engage with company leadership to understand top talent across the organization, engage with top talent and actively promote opportunities for cross department development.

Through observation, feedback, and analysis of data, proactively identifies opportunities to improve performance, creating and implementing sound tactics to resolve the gap.

Identifies and recommends appropriate technology to support accurate and efficient claims handling and reporting.

Stays abreast of industry trends and standards to ensure claim platform evolves to meet the needs of the organization, and our agents/insureds.

Creates regular reports for unit and senior leaders, displaying activities, outcomes, and key performance indicators that track results against objective goals.

Develop and implement digital dashboards and metrics to improve staff awareness of performance and areas requiring stronger attention to claim processing.

Conducts annual audits of outside adjusters, involving a diverse and objective team to assist in providing detailed reports and recommendations to the VP of Claims.

Manages independent adjuster supervisors to monitor, direct, measure performance, and resolve any matters with independent adjusters and appraisers.

Monitors, measures performance, and resolves matters with claim vendors, including software services, to ensure successful business outcomes.

Fosters strong relationships with independent agents and agencies that represent the Company.

Responsible for the oversight of vendor compliance including staffing commitments, deliverables, deadlines and costs.

Requires a 4-year college degree. Advanced degree and professional designation desired.

Minimum of 15 years of progressive insurance experience handling personal and commercial lines automobile losses including physical damage, property damage liability, first/third party injuries, and subrogation. Must have 10 years of management experience involving coverage and liability issues, including litigation.

Experience leading other leaders, coaching performance, and achieving successful organizational change as a senior leader required.

Computer proficiency is required, including use of video conferencing technology.

Quincy Mutual Group is looking for an Associate Data Analyst with strong analytical skills to be responsible for working with the Data Analytics team in the generation of data sets and reports in support of the Commercial Lines Underwriting Department. They will report to the Data Analytics Manager and lead the execution of various exhibits that are essential to the integration and communication of data and information to the Commercial Lines team.

The Associate Data Analyst will primarily be responsible for the aggregation and manipulation of large data sets for the primary objective of creating reports and insights into Key Performance Indicators (KPI’s) for end-users within Quincy Mutual Group, mainly consisting of the Commercial Lines Management team, Underwriters, and Assistant Underwriters. This responsibility includes:

Bachelor’s degree in a Related Field – included but not limited to Math, Statistics, Computer Science, Actuarial Sciences, etc.

Demonstrated experience with Data Management and summarizing data and information to end-users a plus.

On-site in office for training period and then hybrid schedule once fully trained.

Responsible for developing and managing a profitable book of business by collaborating with the Commercial Lines team and Marketing team. Build productive relationships with assigned agents that will provide increased opportunity to write profitable commercial lines business. Evaluates risks for acceptance or denial, prices, and determines conditions for commercial lines accounts in accordance with company underwriting guidelines. Works with the Commercial Lines team and other departments to identify and develop business opportunities for profitable growth. Uses existing analytical tools to execute sound underwriting and business development decisions. Works collaboratively with internal stakeholders to accomplish department and corporate goals. Trains agents and underwriting staff to ensure consistency with established procedures and guidelines. Enhances agent’s’ knowledge of Quincy’s products to maximize business outcomes.

This position currently follows a hybrid work schedule, with in-office days on Tuesdays & Thursdays.

Professional designation of Chartered Property Casualty Underwriter is preferred.

2-4 years in insurance underwriting department or courses to include completion of an underwriter training schedule.

*Role could be filled at Associate Injury Claims Adjuster, Injury Claims Adjuster, or Senior Injury Claims Adjuster depending on selected candidate’s skills, experience, and knowledge

The Injury Claims Adjuster is responsible for timely and accurate adjudication of commercial and personal lines automobile injury claims. The position requires the adjuster to appropriately investigate claims beginning with coverage and liability, evaluate damages, negotiate, and settle such claims. The Injury Claims Adjuster maintains appropriate licensure to adjust claims where required. They ensure they adjudicate claims and act in compliance with regulations, laws, and Company policy.

As a member of the injury claims team, the Injury Claims Adjuster exhibits accountability, teamwork, professionalism, personal development, and proactivity toward improving performance and contributions to the Company’s success. They act with great integrity, professionally engaging internal and external customers.

Adjuster licenses: Rhode Island, Connecticut, Florida, and Texas within 90 days of hire.

EXPERIENCE:
Minimum of 2 years of third-party automobile injury claims experience as an adjuster.

Computer proficiency is required, including use of video conferencing technology.

The Injury Claims Manager is responsible for day to day leading and of assigned team comprised of first and third party injury adjusters. The team is focused on resolving personal and commercial automobile first party claims involving Personal Injury Protection/Medical Payments exposures and investigating, evaluating and settling third party injury claims. The Injury Claims Manager exercises considerable critical thinking skills, judgement, and initiative in the proper resolution of claims. They are responsible for the consistent delivery of high quality claim handling and customer service from their team of 6-8 claim examiners. The Injury Claims Manager ensures their team is in compliance with regulations, Company policy, and all applicable licenses required for adjusters. They are a leader who positively influences their team, coaching and guiding staff through changes in the organization and industry. The Injury Claims Manager creates an environment where teamwork and entrepreneurial spirit flourish, resulting in outstanding achievement of team, unit, division and Company goals.

As a member of the leadership team, the Injury Claims Manager sets the example for an environment built on accountability, teamwork, professionalism, personal development, and proactivity toward improving performance and contributions to the Company’s success. Possesses the ability to act with great integrity, professionally representing the organization to internal and external customers, safeguarding systems and information within their control against fraud, malware, and cyberattacks. Maintains strict confidentiality with sensitive information and handling of employee matters.

Achieves quality, productivity, and acceptable customer service results by following leading practices and procedures, management direction, and effective performance management of their team.

Ensures communication with internal and external customers is professional and timely.

Reviews all demands and responses to ensure appropriate processes are followed for accurate and timely responses.

Upon identification of complex claim matters, including coverage and liability issues, denials or offers below requested demand, escalates claim for discussion at weekly round table.

Provides adjusters with appropriate settlement authority, escalating claims to AVP of Claims when the value exceeds their authority.

Identifies and aligns resources for their team to ensure appropriate staffing and coverage for workload and service to customers and agents.

Effectively responds to concerns and complaints with a solution mindset, learning from each encounter for the benefit of the Company and others.

Responds verbally and in written form to insurance department inquiries, customer complaints, and 93A letters.

Identifies and manages concerning performance or personnel issues in a proactive manner, involving the AVP/VP of Claims and Human Resources when appropriate.

Ensures all potentially fraudulent activity is reported to the Special Investigations Unit.

Reviews Company reports, including claim information gathered through various sources, to understand and be able to appropriately share insight and feedback to their staff.

Monitors staff activity and outcomes through use of observation, various systems and reports, providing direction and support in a timely manner.

Partners with Quality Manager to ensure Medicare and other regulatory reporting is completed in accordance with the law.

Minimum of 3 years of first and third party automobile injury claims experience as an examiner. Must have 5 years of recent management experience in a customer facing role within an insurance company.

Successful career of leading others through change, coaching performance, and consistently achieving goals.

Responsible for developing and managing a profitable book of business by collaborating with the Personal Lines team and Marketing team and building productive relationships with assigned agents. Evaluates personal auto, property, and liability risks for acceptance, denial, or amendment in accordance with company underwriting guidelines. Works with the team and other departments to identify and develop business opportunities for profitable growth. Uses existing analytical tools to execute sound underwriting and business development decisions and identify other tools, dashboards, and analytics to enhance future performance. Works collaboratively with internal stakeholders to accomplish department and corporate goals. Trains agents and underwriting staff to ensure consistency with established procedures and guidelines. Enhances agent’s’ knowledge of Quincy’s products to maximize business outcomes.

Training for this role will be onsite 3-4 days per week. There is an option for a hybrid work schedule, with in-office days on Tuesdays & Thursdays, when the training period concludes.

Three to five years experience in property and casualty insurance, with at least two years of practical exposure to desk underwriting.

POSITION SUMMARY:
Responsible for the investigation, evaluation, negotiation and settlement of automobile first party physical damage and third-party property damage insurance losses. Initiates contact with injured parties to obtain claim information and establish potential exposure. Handles complex claims involving several parties, including coverage and liability investigations. Handles large losses and responds to 93A demands. Assists in training auto claims representatives in collaboration with Quality Assurance Manager. Serves as a mentor to others within the physical damage unit.
PRINCIPAL ACCOUNTABILITIES:
Job Knowledge:
• Able to independently review losses for coverage under applicable policies, investigate the merits of the loss, and determine liability against the insured.
• Experienced in negotiating settlement of third-party property damage claims.
• Conducts thorough recorded statements to evaluate the merits and exposures of losses.
• Able to identify suspected fraud, referring those claims to the SIU team.
• Interacts professionally with all customers, able to resolve disputes, explain claim processes, and resolve claims with minimal supervision.
• Documents claim files with pertinent information in a clear, concise manner.
• Identifies subrogation opportunities, ensures the claim file contains required information for a quality referral to the subrogation team.
• Identifies large and/or complex losses and adjudicates them to completion, completing required reporting per Company guidelines.
• Provides claim manager with recommendations to address 93A demands and follows through on direction to answer such requests.
• Identifies best methods of mentoring others, properly engaging them in a positive, encouraging manner to assist them in their development as physical damage claim representatives.
Communication:
• Communicates over the telephone in a courteous and pleasant manner, projecting confidence with a positive tone.
• Approaches difficult conversations in a prepared, professional manner.
• Effectively communicates with others through all communication pathways, including email, in-person, video conferencing, verbal and written correspondence.
Other Responsibilities:
• Assists management with audits and department projects as needed.
• May assist claim manager with claim allocations, round tables, and answering of complaints.
• With limited supervision, manages other adjuster’s desks during absences as well as their own.
• Provides guidance and assistance to others within the physical damage unit on an independent basis.
JOB REQUIREMENTS:
EDUCATION:
4-year college degree or equivalent experience.
Adjuster licenses in the states of Connecticut and Rhode Island.
Associate in Claims (AIC) preferred.
EXPERIENCE:
Minimum of 3 years handling complex physical damage claims.
SKILLS:
Familiar with varying laws of comparative negligence and state regulations.
Familiar with window-based PC applications.
Capable of analyzing information presented and making decisions based on company guidelines.
Knowledge of company policies and procedures pertaining to processing liability automobile claims.
Knowledge of Personal and Commercial automobile policies in the states of CT, MA and RI.
Superior verbal and written communication skills.
Superior organizational skills

The Senior Software Developer is responsible for developing a broad scope of system solutions for user requests at an established Property and Casual insurance carrier. The position works within the full development cycle, from specification review to successful production deployment, in a hybrid, team-oriented work environment.

This position currently follows a hybrid work schedule, with in-office days on Tuesdays & Thursdays.

Obtain user signoff and move modifications to production, ensuring all modifications are working as outlined in specifications.

Adhere to development standards and procedures including but not limited to controls, flowcharts, documentation (change management), and system naming conventions.

Train and coach programmer analysts and junior programmer analysts on an as needed basis.

Assist in the event of a disaster/serious system problem, as a backup to operations when required.

Be available for pre-scheduled (2-3 yearly) “ON-CALL” to ensure the timely completion of the daily & month-end cycles.

Stay abreast of industry trends to knowledge share and brainstorm with members of IT team.

This job description is not all inclusive and may include additional duties if needed.