Full-Time Quality Control Specialist

• Conduct quality reviews of Proofs of Loss (POLs) to verify eligibility, documentation completeness, valuation accuracy, and duplication of benefits.
• Ensure claims are processed in alignment with 44 CFR Part 296, FEMA policies, and the Hermit’s Peak/Calf Canyon Fire Assistance Act.
• Validate supporting documentation, including SME reports, site inspection findings, financial statements, and claimant-submitted materials.
• Provide clear, written feedback identifying errors, inconsistencies, missing documentation, or areas requiring rework.
• Track QC approvals and returns; identify trends; provide coaching guidance to reviewers through team leads.
• Ensure all work is entered into FEMA’s System of Record (SOR) with accuracy and completeness.
• Respond to real-time questions on workflow, policy interpretation, and documentation requirements.
• Maintain strict production timelines and meet FEMA’s performance standards.
• Support data integrity, audit readiness, and overall quality assurance for the Claims Office.

• 1-10 years of experience in claims/case processing, records review, documentation validation, customer service, or analytical program support.
• High School Diploma or Bachelors Degree required
• Ability to review documentation, identify gaps, and ensure valuation accuracy.
• Strong attention to detail and ability to manage high caseloads.
• U.S. Citizenship (required for FEMA Public Trust).

• Prior FEMA or disaster recovery experience.
• Experience with Proof of Loss development, insurance claims, appeals review, or QC.
• Experience in high-volume federal claims environments (e.g., SBA, HUD, OGC, NFIP, wildfire recovery).
• Familiarity with Xactimate, GIS data, financial documentation, or valuation methodologies.

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