Senior Manager, QA, Audit & Claims Compliance

Axis; Princeton (NJ); Hybrid; USD 140,000 - 160,000; Full time

Benefits offered by this job

Hybrid work environment

Job summary

AXIS Capital is seeking a Senior Manager, Quality Assurance and Audit, North America Claims to lead audits, drive quality improvements, and oversee SIU and fraud programs. The role requires strong technical claims judgment and experience managing audits across multiple lines of business.

The position offers a hybrid work environment with travel as needed. You will partner with Compliance, Legal, Internal Audit, and Claims leadership to enhance controls and ensure regulatory alignment.

Qualifications

• 6–10 years of experience in commercial P&C insurance, reinsurance, specialty claims, claims audit, quality assurance, compliance, or a related discipline.
• Minimum 3 years of experience supporting or managing claims audits, quality assurance reviews, compliance monitoring, or remediation tracking.
• Experience working with TPAs, outsourced claims partners, audit vendors, or vendor oversight programs.
• Experience auditing specialty claim files across multiple lines of business and supporting technical claim quality reviews.
• Bachelor’s degree is required; advanced degree or professional designation preferred.

Responsibilities

• Lead and report on the North America claim handler audit program, TPA oversight audit program, and leadership quality control file review program across multiple lines of business.
• Coordinate with claim leaders, TPAs, audit vendors, Compliance, Legal, Internal Audit, and Operations to ensure consistent, timely audit delivery.
• Develop dashboards, scorecards, and management reports covering quality review results, technical audit outcomes, recurring themes, risk areas, trends, and improvement opportunities.
• Monitor findings related to Medicare, regulatory obligations, documentation standards, claim handling controls, and other compliance requirements.
• Escalate material issues, recurring trends, control gaps, and remediation delays to appropriate leaders and governance forums.

Skills

Analytical skills

Communication skills

Project coordination

Stakeholder management

Team leadership

Education

Bachelor’s degree in a related field

Advanced degree or professional designation preferred

Tools

Excel

PowerPoint

Word

Job description

AXIS Capital is seeking a Senior Manager, Quality Assurance and Audit, North America Claims to lead audits, drive quality improvements, and oversee SIU and fraud programs. The role requires strong technical claims judgment and experience managing audits across multiple lines of business.

The position offers a hybrid work environment with travel as needed. You will partner with Compliance, Legal, Internal Audit, and Claims leadership to enhance controls and ensure regulatory alignment.