About this role
Role Overview
- Advanced-level role responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance
- Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs
- Identify operational, compliance, and claim quality risks and provide recommendations for improvement
- Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards
Requirements
- High School diploma or equivalent certification or 3-year customer service experience in a virtual environment leveraging internet, phone, and chat features industry
- 6 years in an insurance and/or Quality Management environment or equivalent business experience
- Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment
Benefits
- total compensation package
- annual bonus eligibility for most roles
- 401(k) with a company match
- flexible workplace options