Director of Claims Quality Assurance

Ryan Specialty

. Complete monthly claim file audits for the Claims TPA .

Posted 9/24/2026full-timeRemote • Arizona • United StatesLead💰 $124,413 - $155,517 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in property claims quality assurance, audit management, and compliance with state insurance regulations. Proficient in developing QA dashboards, KPI metrics, and delivering training programs to enhance claims handling and operational efficiency.

Highest-signal resume keywords

Property Claims Quality AssuranceAudit ManagementKPI DevelopmentClaims Quality TrainingState Insurance Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims File AuditsCarrier AuditsCoverage AnalysisDocumentation EvaluationReserving AccuracyPerformance BenchmarkingCorrective Action PlansOperational ReviewsTrend AnalysisLitigation Management

Soft Skills

CoachingFeedback DeliveryCollaborationPresentation Skills

Tools & Technologies

QA DashboardsKPI Reporting

Industry Keywords

Claims Handling PracticesCompliance ReviewsDOI ComplaintsIndependent Adjusting FirmsVendor Management

About the role

Key responsibilities & impact

Complete monthly claim file audits for the Claims TPA
Conduct ongoing carrier audits
Create and maintain feedback improvement plans
Maintain a comprehensive property claims quality assurance program
Evaluate coverage analysis, investigation quality, reserving accuracy, documentation, and customer service
Establish QA KPI metrics, audit standards, and performance benchmarks
Identify claim handling trends, deficiencies, and improvement opportunities
Monitor corrective action plans and improvement trends
Ensure compliance with state insurance regulations, fair claims handling practices, and company procedures
Monitor carrier-specific claims handling guidelines and authority requirements
Support market conduct examinations, carrier audits, and internal compliance reviews
Review DOI complaints, litigation trends, and regulatory findings
Evaluate TPAs, independent adjusting firms, engineers, and other claim vendors
Perform delegated authority audits and operational reviews
Collaborate with vendor leadership to improve claim quality and consistency
Develop and maintain QA dashboards and KPI reporting
Present findings and recommendations to executive leadership and carrier partners
Design and deliver claims quality training programs
Provide coaching and feedback to adjusters, supervisors, and claims leadership
Implement best practices and process improvements with claims management
Provide underwriting and product teams with industry trend analysis and portfolio feedback
Provide feedback on policy language based on claim trends

Requirements

What you’ll need

Experience, training, transferable skills, licensure and certification may be considered in determining compensation
Knowledge of property claims quality assurance and audit management
Knowledge of state insurance regulations and fair claims handling practices
Ability to conduct claim file, carrier, delegated authority, and operational audits
Ability to develop QA dashboards, KPI metrics, audit standards, and performance benchmarks
Ability to analyze coverage accuracy, timeliness, reserve accuracy, large loss management, litigation rates, customer satisfaction, and leakage indicators
Ability to design and deliver claims quality training programs
Ability to provide coaching and feedback to adjusters, supervisors, and claims leadership

Benefits

Comp & perks

Paid company holidays
Paid vacation days
Paid sick days
Paid personal days
Paid parental leave
Mental health services
Bonuses for full-time roles
Comprehensive benefits package
Reasonable accommodations for individuals with disabilities