Senior Corporate Claims Leader & QA Specialist

Old Republic Commercial Risk; Glen Allen (VA); On-site; USD 130,000 - 190,000; Full time

Job summary

Old Republic Commercial Risk is seeking a senior claims leader to provide technical direction and ensure optimal outcomes for complex claims. The role drives QA programs, policy compliance, and process improvements across the claims staff.

The position requires strong leadership, deep insurance knowledge, and the ability to collaborate with TPAs and internal teams to uphold high standards and ethical practices.

Qualifications

• Bachelor's degree or 5+ years in insurance required.
• Extensive knowledge of insurance contracts and adjusting techniques.
• Familiarity with medical terminology.
• Demonstrated leadership, coaching, and teamwork skills.
• Excellent verbal and written communication skills.
• Proficiency in MS Office (Word, Excel, PowerPoint).
• Supervisory experience; CPCU and AIC or similar designation preferred.

Responsibilities

• Provide technical oversight for unbundled claims with reserve and settlement authority beyond TPA discretionary limits.
• Provide overflow support to bundled claims handled by PMAIC field claims with authority.
• Directly handle an assigned pending of corporately established liability files.
• Support compliance activities related to TPAs.
• Support QA processes to assess work quality and drive improvements.
• Develop and communicate corporate policies; lead project teams resolving claims issues.
• Assess staff training needs and conduct performance improvement sessions.
• Uphold the Company’s Code of Business Conduct and Ethics and apply compliance policies.

Skills

Leadership

Coaching

Teamwork

Communication

Analytical thinking

Negotiation

Decision making

Customer service

Education

Bachelor's degree

CPCU designation

AIC designation

Tools

MS Office

Job description

Old Republic Commercial Risk is seeking a senior claims leader to provide technical direction and ensure optimal outcomes for complex claims. The role drives QA programs, policy compliance, and process improvements across the claims staff.

The position requires strong leadership, deep insurance knowledge, and the ability to collaborate with TPAs and internal teams to uphold high standards and ethical practices.