Quality Assurance Manager - Claims

At Origin Specialty Underwriters, a Beyond Risk Management affiliate company, we are a dynamic and growing insurance MGA known for our specialized expertise and strong client relationships. We value honesty, integrity, and excellence above all else. We've developed bespoke, end-to-end solutions that will foster long-term relationships regardless of market conditions. 

We are seeking a detail-oriented and proactive Quality Assurance (QA) Manager who will be responsible for overseeing and enhancing the effectiveness, consistency, and compliance of the claims handling function. This role ensures that claim administration processes meet regulatory, contractual, and organizational standards, while driving continuous improvement through audits, training, and process innovation. The QA Manager will also play a key role on the claims management team, contributing to department strategy and performance.

Key Responsibilities:

• Claims Auditing:
  • Conduct regular audits of claim files to assess compliance, accuracy, timeliness, and quality of handling
  • Develop and maintain audit protocols, scoring methodologies, and reporting tools
  • Provide feedback and actionable recommendations to adjusters and management
• Process Improvement:
  • Evaluate existing claim administration processes for efficiency, accuracy, and compliance
  • Recommend and implement improvements to workflows, documentation standards, and procedures
  • Partner with claims leadership to align process changes with departmental goals
• Training & Development:
  • Design and deliver training programs for adjusters and claims staff to improve technical expertise, compliance awareness, and service delivery
  • Identify skill gaps and provide targeted coaching and resources
  • Track and measure the effectiveness of training initiatives
• Technology & Workflow Optimization:
  • Collaborate with IT and system vendors to enhance claim management system functionality
  • Identify opportunities for automation, workflow efficiency, and user-friendly system improvements
  • Support testing and implementation of system upgrades and enhancements
• Audit & Compliance Coordination:
  • Serve as primary liaison for audits conducted by carriers, brokers, insureds, and other external partners
  • Ensure timely responses to audit requests and oversee corrective action plans where required
  • Maintain awareness of regulatory and contractual compliance requirements impacting claims handling
• Team Participation & Leadership:
  • Actively contribute as a member of the claims management team, providing insights and recommendations on strategy, performance, and operational improvements
  • Prepare and present quality assurance reports and metrics to leadership
  • Promote a culture of continuous improvement, accountability, and customer focus within the claims department

Qualifications:

• Bachelor’s degree in Business, Insurance, Risk Management, or related field (preferred)
• 7 years of claims handling experience, including supervisory or quality assurance responsibilities
• Strong knowledge of claims processes, compliance requirements, and best practices
• Proven experience in auditing, training, and process improvement
• Proficiency with claim management systems and MS Office Suite; experience with system workflow design a plus
• Excellent communication, analytical, and problem-solving skills
• Ability to manage multiple priorities and collaborate effectively across teams

Key Competencies:

• Detail-oriented with strong analytical and organizational skills
• Effective communicator with ability to deliver constructive feedback
• Skilled in coaching, mentoring, and staff development
• Continuous improvement mindset with ability to drive change
• Strong collaboration and relationship-building skills

If you're ready to make an impact and grow your career in a dynamic, forward-thinking company, we’d love to hear from you! Apply today to join our team.

As our company continues to grow at a rapid pace, so do the opportunities for our current and future employees. Origin Specialty is an equal opportunity employer.

Salary : $120,000 - $125,000