Claims Quality Specialist Lead jobs in United States
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Gallagher Re · 4 months ago

Claims Quality Specialist Lead

Gallagher Re is seeking a Claims Quality Specialist Lead to join their dedicated team focused on improving client outcomes in claims handling. This role involves managing compliance and quality functions, conducting training, and developing strategic plans to enhance performance for large dedicated clients.

ConsultingInsuranceRisk Management

Responsibilities

Manages compliance and quality functions whose mission is to provide assistance to Field Operations and Account Management in order to exceed our client's claim handling expectations
Collaborates internally and externally to develop strategic plans for assigned client's customized requirements
Proactively identifies areas for development, conducts training and education and develops special projects to assist the Field with improved performance
Plans, conducts and manages assignments demonstrating a comprehensive knowledge of claim handling requirements
Develops project plans, collects and analyzes data, and presents resulting findings and recommendations
Plans, coordinates and directs training and staff development programs for the client
Conducts needs analysis studies and confers with leadership to determine training needs
Formulates audit and training policies, programs, and schedules, based on knowledge of identified client needs, company production processes, business systems, or changes in products, procedures or services
Organizes and develops training manuals, reference library and other educational materials
Develops special projects designed to increase efficiency and overall claims handling performance
Responsible for special projects
Proven track record in handling and supervising General Liability claims with an emphasis on Premises Liability matters
Interprets internal or external business issues and recommends solutions/best practices
Serves as senior subject matter expert associated with content, processes, and procedures

Qualification

Claims handling experienceAnalytical skillsTechnical skillsTraining developmentInsurance knowledgeProject managementMicrosoft WordMicrosoft ExcelAdobe ProfessionalPowerPoint

Required

Bachelors degree and a minimum of 6 years claims experience
Strong analytical and technical skills
Solid working knowledge of claims handling best practices
Working knowledge of Word, Excel, Adobe Professional, and Power Point

Preferred

Knowledge of accepted industry standards and practices
Solid understanding of insurance companies, third party administrators and the insurance brokerage business
Computer knowledge with related claims and business software experience

Company

Gallagher Re

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Gallagher Re provides Reinsurance, Risk Management, and Consultancy services. It is a sub-organization of Gallagher.

Funding

Current Stage
Late Stage

Leadership Team

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Edson Wiggers
CEO, Latin America & The Caribbean
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Jim Bradshaw
Chief Executive Officer Gallagher Re North America
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