Claims Quality and Compliance Supervisor jobs in United States
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Plymouth Rock Assurance · 12 hours ago

Claims Quality and Compliance Supervisor

Plymouth Rock Assurance is a leading insurance provider known for its commitment to service and employee satisfaction. They are seeking a Claims Quality and Compliance Supervisor to lead a quality assurance function for the Homeowners Claims organization, ensuring compliance with regulatory requirements and overseeing a dedicated QA team.

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Responsibilities

Architect and oversee a comprehensive, end-to-end quality assurance framework for Homeowners Claims covering coverage determinations, investigation quality, estimate accuracy, communications, cycle time adherence, reserving, and customer experience
Lead an independent QA team responsible for file reviews, scoring, trend identification, and outcome reporting
Establish and maintain a formal calibration program (quarterly at minimum) to ensure consistency in standards, scoring, and interpretation across QA and operational leadership
Develop dashboards and reporting for executive leadership, including root-cause analysis, thematic risk insights, and recommendations
Partner with Claims Operations leadership to ensure QA findings translate into measurable performance improvements through training, coaching, playbook changes, or system enhancements
Monitor corrective action plans and confirm closure on repeat or systemic quality issues
Facilitate governance forums with Claims Leadership and Enterprise Risk to establish accountability, transparency, and continuous improvement
Ensure Homeowners Claims processes, documentation, and decisions remain compliant with state regulations, claims handling standards, and carrier policies
Own and administer adjuster licensing, continuing education tracking, and audit readiness
Serve as the central point of coordination and response for Department of Insurance complaints, inquiries, and market conduct examinations
Monitor changes in regulatory landscape and proactively drive procedural updates to maintain compliance

Qualification

P&C claims experienceQuality Assurance programHomeowners claims expertiseAnalytical skillsExecutive-level presentationRegulatory complianceWritten communicationInfluencing skillsLeadership skillsCritical thinkingTeam collaborationProblem-solving

Required

8+ years of P&C claims experience, with at least 3 years in a leadership role within Quality, Compliance, Audit, or Claims Operations
Ability to obtain licensure in New York, Connecticut and New Hampshire
Deep expertise in homeowners claims handling standards, best practices, and regulatory expectations
Proven experience designing or advancing a structured QA program or governance model
Demonstrated ability to drive action from insights — influencing without direct control
Strong analytical, written communication, and executive-level presentation skills
Bachelor's degree required
Ability to carry up to 25lbs and conduct roof inspections on homes
Valid Driver's License and proficient driving record

Preferred

Experience managing DOI inquiries, market conduct exams, or compliance disputes strongly preferred
Professional designations (CPCU, AINS, AIC) or JD a plus

Benefits

Paid time off
Free onsite gym at our Boston location
Tuition reimbursement
Low cost and excellent health insurance coverage options that start on Day 1 (medical, dental, vision)
Robust health and wellness programs
Auto and home insurance discounts
Matching donation opportunities
Annual 401(k) employer contribution
Various Paid Family leave options including Paid Parental Leave
Resources to promote professional development
Convenient locations and pre-tax commuter benefits

Company

Plymouth Rock Assurance

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H1B Sponsorship

Plymouth Rock Assurance has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (12)
2023 (6)
2022 (7)
2021 (5)
2020 (12)

Funding

Current Stage
Late Stage

Leadership Team

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Bill Martin
President and CEO of Home Assurance
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Max Malaret
Vice President of Claims - Independent Agency Auto Group
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Company data provided by crunchbase