California or New York Licensed Quality Lead

A company is looking for a Quality Performance Lead to oversee the quality of claims processes and ensure compliance with client expectations.

Key Responsibilities

Provide analysis and direction around the quality of claims processes, specializing in worker's compensation claims

Engineer customized client audits, monitor performance metrics, and assist branches in meeting client expectations

Develop processes and procedures to ensure compliance and conduct internal and external audits

Required Qualifications

High School Diploma

Minimum of 7 years related Worker's Compensation claims experience

Knowledge of accepted industry standards and practices

Computer experience with related claims and business software

Previous auditing experience