See all roles

Sr. Director of Commercial & Residential Quality Assurance (FL P&C Carrier)

Work from home Full-time role Hiring

Must have heavy residential & commercial property claims experience. Fully remote position, EST/EDT working hours. Permanent position with excellent benefits. SUMMARY The Senior Director of QA will work collaboratively across all teams and all departments within the company, acting as a catalyst for change and enhanced claims performance and quality. The Senior Director will develop claims QA policies, procedures and standards. The Senior Director will oversee all claims QA operations and manage the QA staff. The Senior Director will collaborate with claims management to evaluate, determine and devise training needs for the claims department. Technical expert responsible for developing and implementing quality assurance standards ensuring adherence to departmental and corporate guidelines. Drive continuous improvement through the establishment and implementation of quality metrics and customer experience enhancements. Monitor deficiencies and implement solutions to close gaps and mitigate risk. Analyzes and reviews claims for accuracy, completeness and quality claims handling. Familiar with standard concepts, practices, and procedures within the claims industry ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

  • Directs the development maintenance and enhancement of quality assurance standards and procedures.
  • Serves as department expert relative to the correlation of data obtained from file reviews.
  • Provides direction and guidance to others in relation to quality and control standards.
  • Individually performs or leads project teams in conducting technical file reviews advising senior management of issues and trends.
  • Manages and maintains departmental Quality guidelines for an operational area.
  • Guides and trains new staff regarding compliance with departmental guidelines.
  • Monitors and gathers information necessary to identify and analyze emerging trends as they relate to assigned functional and operational areas.
  • Stays current on industry trends and developments.
  • Establishes the review process for closed claim file audits.
  • Serves as subject matter expert for all claim lines of business regarding quality root cause analysis and action plans to improve standards across business lines.
  • Serves as Project lead and Quality Expert for implementation of new vendor technologies
  • Leads Change Management Implementations including benefits analysis
  • Audit complex residential and commercial open claim files for accuracy and completeness and to assure company and State required guidelines are followed.
  • Record results of open claims audits and present findings in meetings with Management and Adjusters.
  • Perform analysis, identify trends, and provide recommendations to improve technical and procedural aspects of claims handling.
  • Identify Adjuster coaching opportunities and communicate findings to management.
  • Participate in claims management calibration sessions to evaluate and discuss quality compliance and departmental training needs.
  • Responsible for developing and organizing training materials, multimedia visual aids, and other educational materials.
  • Ensures adherence to overall Claims Performance Goals in 3 key areas: Customer Service, Quality Claims Handling, and Efficiency.
  • Perform other essential duties as assigned.

SUPERVISORY RESPONSIBILITIES This job has supervisory responsibilities. SKILLS, KNOWLEDGE AND QUALIFICATIONS

  • A solid understanding of the insurance industry, its products, practices and more generally the role of Quality Control and Assurance across Operations.
  • Advanced analytical and problem- solving skills with ability to manage and prioritize multiple projects.
  • Excellent project management skills.
  • Excellent communication presentation and interpersonal skills with the ability to work effectively with both internal and external business partners and communicate effectively with individuals across all levels of the organization.
  • Experience leading project teams and the ability to coach and mentor staff at all levels.
  • Ability to influence others in accepting ideas that will lead to increased business results.
  • Strong computer skills including MS Office suite and other business related and/or project management software systems.
  • Individual must have high level of interpersonal skills to handle sensitive and confidential situations
  • Position continually requires demonstrated poise, tact and diplomacy.

Work requires continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines. The individual must be able to work in a fast-paced environment with demonstrated ability to handle multiple tasks and demands. EDUCATION AND /OR EXPERIENCE Bachelor’s degree desired, or equivalent work experience required. 10+ years of property coverage at the carrier level. Previous property claims management experience Active FL 620 license in good standing. Ability to obtain adjuster licenses in all states where company conducts business Applicable professional designations preferred Apply tot his job

You might like

Pilot Plant QA Specialist (QMS) Lead

Work from home Full-time role

Quality Assurance (QA) Manager

Work from home Full-time role

Business Analyst/QA Tester

Work from home Full-time role

Software Engineer, QA

Work from home Full-time role

QA Engineering Lead

Work from home Full-time role

QUALITY ASSURANCE TESTER

Work from home Full-time role

QA Engineer II - Marketing

Work from home Full-time role

Manual QA (AI & Data Privacy)

Work from home Full-time role

Performance Test Engineer

Work from home Full-time role

IT Quality Assurance Lead - Allscripts Upgrade

Work from home Full-time role

Hotel & Resort Coordination Specialist (Remote)

Work from home Full-time role

Pharmacist Consultant – Long Term Care – Part Time (Pharr, Texas) in Austin, TX

Work from home Full-time role

Remote --- Technology Technical Support Representative

Work from home Full-time role

TJX Companies - Retail Associate Part Time Now Hiring - Victor, NY

Work from home Full-time role

Customer Success Manager

Work from home Full-time role

Senior Project Coordinator, FHS Onboarding

Work from home Full-time role

Experienced Remote Customer Care Advocate – Delivering Exceptional Customer Experiences with arenaflex

Work from home Full-time role

Quality of Care Review Nurse (Remote)

Work from home Full-time role

Experienced Part-Time Work From Home Customer Service Representative – Delivering Exceptional Support to arenaflex Customers

Work from home Full-time role

Mechanical Engineer - Remote Design & Analysis

Work from home Full-time role