Remote QA Lead — P&C Claims & Compliance

Raphael & Associates; Rutherford (NJ); Hybrid; USD 90,000 - 115,000; Full time

Benefits offered by this job

Competitive salary

Bonus

Paid time off

Medical/dental/vision/life insurance

401k with matching

Job summary

A third-party claims administrator is seeking an experienced Quality Control Manager to implement quality assurance programs for Property & Casualty claims operations. The ideal candidate will have 5+ years of experience in claims operations and knowledge of quality control standards. This position allows for potential remote work, providing an excellent opportunity to work with a dedicated team in a dynamic environment. Competitive compensation and comprehensive benefits are offered.

Qualifications

• 5+ years of experience in P&C claims operations within a TPA or insurance carrier.
• 3+ years in quality control or audit functions for P&C claims.
• Familiarity with NAIC guidelines and claims handling regulations.

Responsibilities

• Develop and maintain quality assurance programs for claims operations.
• Conduct quality audits and ensure compliance with standards.
• Create training sessions for claims adjusters based on quality trends.

Skills

Claims accuracy rate

Documentation completeness/consistency

Strong written and verbal communication

Project management

Education

Bachelor’s degree in Business or related field

Master’s degree

Tools

Quality measurement tools

Job description

A third-party claims administrator is seeking an experienced Quality Control Manager to implement quality assurance programs for Property & Casualty claims operations. The ideal candidate will have 5+ years of experience in claims operations and knowledge of quality control standards. This position allows for potential remote work, providing an excellent opportunity to work with a dedicated team in a dynamic environment. Competitive compensation and comprehensive benefits are offered.