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Claims Quality Assurance Supervisor

Posted 2024-11-07

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💎 Seniority level: Manager, Ten years claims adjusting experience, including at least four years of claims quality audit experience

📍 Location: United States of America

🔍 Industry: Insurance

🏢 Company: EMC_Careers

🗣️ Languages: English

⏳ Experience: Ten years claims adjusting experience, including at least four years of claims quality audit experience

🪄 Skills: LeadershipData AnalysisPeople ManagementQACross-functional Team LeadershipData analysisCommunication SkillsAnalytical SkillsCollaborationOrganizational skillsWritten communication

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.
Responsibilities:
  • Oversees and maintains the claims quality assurance (QA) program across all lines of business.
  • Sets standards and practices within the QA function, schedules and coordinates audits.
  • Leads meetings on QA results, collaborates with QA and claims teams.
  • Conducts audits, analyzes trends and training needs for upper management.
  • Develops and guides QA team members in performance management.
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🔥 Claims Quality Assurance Supervisor
Posted 2024-10-20

📍 United States of America

💸 100000 - 120000 USD per year

🔍 Insurance

🏢 Company: EMC_Careers

  • 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.

  • 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.

LeadershipProject ManagementPeople ManagementQAProject CoordinationCross-functional Team LeadershipCommunication SkillsAnalytical SkillsCollaboration

Posted 2024-10-20
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