Quality Management Claim Review Manager

Job Summary

A company is looking for a Claim Review Manager to lead a team in optimizing the Claim Review program.

Key Responsibilities

• Drive the vision of quality and establish a culture of business process improvement
• Analyze claim review results to inform quality trends and drive change across the organization
• Develop and implement quality systems strategy and manage team performance and productivity

Required Qualifications

• Bachelor's degree in Business, Risk Management, Insurance, or a related discipline
• Minimum of 7 years of experience in quality management or risk management, preferably in insurance or financial services
• In-depth knowledge of quality management principles and regulatory requirements related to group benefit solutions
• Proven track record of developing quality and risk management frameworks
• Demonstrated leadership skills with the ability to build and motivate high-performing teams