Claims Quality Assurance Director

Job Description

The Claims Quality Assurance Director will lead the development, implementation, and ongoing enhancement of the claims quality assurance program for the organization. Collaborating across departments, including Claims Leadership, Training, Data & Analytics, and IT, this role aims to improve claims performance, enhance customer experiences, ensure adherence to regulations, and minimize leakage. The Director will implement data-driven strategies, manage high-performing teams, and foster a culture of quality, accountability, and operational excellence throughout the claims division.

Qualifications

1. Bachelor's degree required, preferably in Business Administration, Insurance, Risk Management, or a related field. 2. 8+ years of experience in property & casualty claims operations and quality assurance. 3. 5+ years of leadership experience in claims management. 4. Prior experience in claims quality auditing is preferred. 5. Strong experience with California claims handling; multi-state experience is preferred. 6. Strong understanding of claims systems, reserving practices, and regulatory requirements (especially California). 7. Deep knowledge of automobile claims, including Material damage (appraisal, total loss, salvage, subrogation), Bodily Injury and Liability claims (coverage, investigation, evaluation, negotiation), and Litigation (injury and property damage). 8. Proven ability to design and implement best practices in claims handling and quality assurance.

Benefits

- Medical - Dental - Vision - HSA* - PTO - 401k - Company observed Holidays