Claims Quality Assurance Director

Role Overview

• The Director of Claims Quality leads the design, execution, and continuous improvement of the organization’s claims quality assurance program.
• This role partners cross-functionally with Claims Leadership, Training, Data & Analytics, and IT to enhance claims performance, elevate customer experience, ensure regulatory compliance, and reduce leakage.
• The Director drives data-informed strategies, builds high-performing teams, and embeds a culture of quality, accountability, and operational excellence across the claims organization.

Requirements

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

Benefits

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