Claims Quality Assurance Supervisor

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Requirements:

• Bachelor’s degree or equivalent relevant experience.
• Ten years claims adjusting experience, including at least four years of claims quality audit experience.
• Insurance designations preferred.
• Superior knowledge of claims handling theory and practice.
• Good knowledge of insurance contracts, coverage, practices, and procedures.
• Advanced analytical abilities and good judgment regarding coverages and reserving.
• Excellent knowledge of quality assurance function.
• Good leadership qualities to motivate and develop team members.
• Strong organizational and communication skills.

Responsibilities:

• Oversees and maintains the claims quality assurance (QA) program across all lines of business.
• Sets standards and practices within the QA function, including audit schedules.
• Leads meetings to discuss QA results with claims teams.
• Drives efficiency and conducts audits as needed.
• Provides analysis on QA trends and training needs to upper management.
• Prepares and distributes audit summary reports.
• Collaborates with claims teams to plan audits and ensure compliance.
• Develops KPIs to measure audit results and communicates them transparently.