The Hartford Hiring for Third Party Administrator (TPA) Quality Specialist at Atlanta, Georgia Full Time

You are a driven and motivated problem solver ready to pursue meaningful work. You strive to make an impact every day & not only at work, but in your personal life and community too. If that sounds like you, then you’ve landed in the right place.

​This position will be 100% remote.

The Third Party Administrator (TPA) Quality Specialist is responsible for quality audits of The Hartford’s insured claims handled by The Hartford’s TPA Partners. The TPA Quality Specialist evaluates TPA claim files including, but not limited to, coverage, investigations, reserving, compliance, payment accuracy and file outcomes, and identifies areas of opportunities in the TPA claim handling. The TPA Quality Specialist is also responsible for TPA Audit Action Plan oversight and execution, when applicable, to drive continuous claim handling improvement. In addition, the TPA Quality Specialist is responsible for support of department objectives and strategies related to the mitigation of risk associated with unbundled claim handling, and delivery of customer value.

The TPA Quality Specialist facilitates audits of The Hartford’s TPA Partners’ handling of claims arising under Workers’ Compensation, Auto, General Liability (GL) and/or Property coverages. This responsibility requires coordination with contracted TPA partners handling The Hartford’s insured claims. In addition, the TPA Quality Specialist works closely with TPA Consultants, TPA Claim Account Executives and the TPA Services Data & Operations Team to address issues identified as a result of the audit process.

Qualifications

• Bachelor’s Degree preferred or equivalent experience is required

• 5+ years of P&C claim handling/quality control/claim leadership experience is required; knowledge of TPA business and processes preferred

• Workers’ Compensation expertise is preferred; candidates with Auto/GL/Property experience may be considered

• Strong technical and multi-jurisdictional knowledge of P&C claims including Workers’ Compensation, Auto, GL and/or Property and their respective claim processes

• Experience accurately evaluating files from a holistic perspective and skilled in the art of calibration

• Effective project management with the ability to manage and execute multiple projects and priorities

• Solid verbal and written communication skills

• Strong software (e.g., Excel) systems including the ability to manipulate data

• Excellent analytical skills with the ability to interpret trends, draw conclusions, and effectively make recommendations

• Self-motivated with a strong desire for excellence and able to work in virtual environment

• Strong team mentality and demonstrated experience successfully participating in team based objectives

• Builds strong relationships as a result of a consistent customer service approach

• Demonstrates sound business judgment and decision making skills

• Travel 10% or less

Why Join The Hartford?

Visit our website to learn about The Hartford’s recognition. Information about the company and its product offerings is available at www.thehartford.com.

Don’t just apply for a job. Apply your passions.

Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$82,080 – $123,120

Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

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Quality Spec, TPA Services – CG08NE

Skills: