Claims Quality Assurance Leader

Claims Quality Assurance Leader

Job Locations US-United States

Requisition ID

JR1003453

Category

Claims - Specialty Lines

Position Type

Regular Full-Time

Overview

Objective

To oversee, enhance, and ensure the quality and accuracy of claims processing, contributing to operational efficiency, compliance, and customer satisfaction.

Scope of Work

The Claims QA Leader will be responsible for developing and implementing quality assurance processes for AmTrust's internal and TPA claims operations. They will oversee audits, analyze trends, and collaborate with teams to improve accuracy, compliance, and efficiency in claims processing.

Responsibilities

Responsibilities :

1.Owns the development and performance of a complex claims team, ensuring the quality, accuracy, and timely resolution of commercial liability claims of the highest complexity and / or severity. Continuously develops talent by creating opportunities for direct reports to grow and strengthen new skills.

a.Monitors the performance of their team, analyzing any problematic trends to identify root cause problems. Escalates issues or may recommend solutions to operational leadership. Advocates a culture committed to identifying process efficiencies to continuously improve how work is completed.

2.Demonstrates a passion and vision towards a highly effective and engaged employee culture. Selects top talent, delivers continuous coaching, recognizes employees to reinforce behaviors that ensure service excellence, and holds other accountable for the development of their teams.

3.Advocates claims customer service excellence by building an understanding of the customer experience that meets and exceeds stakeholders' expectations.

4.Resolves complaints, problems, and coverage questions that are escalated from teams, escalating further if needed. Collaborates effectively with internal and external stakeholders, including existing policyholders, the business community and governmental agencies, to ensure compliance with regulatory and company standards.

5.Promotes and advocates business unit goals and objectives, ensuring alignment with broader Claims Department and corporate functional goals.

6.Knowledge of principles and methods pertaining to the claims field; knowledge of claims management practices, company operations and policies.

7.Keeps current with market trends and demands.

8.Performs other functionally related duties as assigned.

Qualifications : Required :

• Minimum of 5 years' experience in leadership roles within the insurance industry.
• 7-10 years of relevant and progressively more responsible claims work experience across multiple casualty lines.
• Bachelor's degree or equivalent work experience.
• Persuades and influences people through superior written and oral communications; explains things clearly, challenges ideas effectively and argues in favor of own point of view.
• Ability to synthesize and draw conclusions from large amounts of data; translates the data into actions and results.
• Demonstrates drive and ambition to achieve goals and outstanding results.
• Possesses emotional intelligence and self-awareness.
• Embraces changes; invites feedback related to performance and deals constructively with criticism.
• Demonstrates advanced understanding of the industry.
• Multi-state adjuster licenses a plus.
• Bachelor's degree
• Significant experience in leadership roles within the Insurance industry and / or demonstrated abilities to lead, motivate and inspire teams
• Experience in Commercial Property claims
• Embraces change;
• Invites feedback related to performance and deals constructively with criticism.

This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position.

Qualifications

Thorough understanding of laws, principles of coverage, liability and insurance industry in general.

LI-BL1

LI-REMOTE

AmTrust

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include : Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Connect With Us!

Not ready to apply? Connect with us for general consideration.