Gallagher Bassett · 20 hours ago
Quality Assurance Manager
United States
Full-time
Remote
Senior Level, Lead/Staff
$86K/yr - $168K/yr
9+ years expGallagher Bassett is dedicated to helping clients navigate complexity and support recovery. They are seeking a Quality Assurance Manager to lead a team of claims professionals in identifying and reviewing potential internal fraud while ensuring quality standards and process optimization.
BeautyCosmeticsE-Commerce
Responsibilities
Lead, mentor, and develop a team of claims professionals responsible for identifying, reviewing, and escalating potential internal fraud
Establish clear performance expectations, workflows, and quality standards to ensure accuracy, consistency, and timeliness of fraud reviews
Foster a culture of integrity, accountability, and continuous improvement across the team
Provide guidance on complex claims scenarios to ensure reviewers accurately identify red flags, anomalies, and deviations from expected handling
Monitor claim patterns, trends, and behaviors leveraging data, system cues, and review insights to refine detection strategies
Willing to develop familiarity and knowledge of claims system processes, controls, and data environment to support fraud reviews
Implement quality assurance checks to validate the completeness and integrity of case documentation
Share subject matter expertise to fraud risk assessments and recommendations to enhance existing controls to reduce risk across claims operations
Collaborate with Financial Controls, Operations, and IT to strengthen system‑based controls, triggers, and investigative workflows
Develop and maintain SOPs, escalation paths, and documentation standards for all fraud review activities
Oversee timely reporting on fraud trends, case outcomes, and emerging risks to senior leadership
Use data to identify root causes and partner with cross‑functional teams to implement corrective actions
Track team metrics and KPIs to measure effectiveness and drive continuous improvement in payment review processes
Qualification
Required
Bachelor's degree
9 years relevant claims handling experience
Proficiency in MS Office applications
Proficiency in related claims and business software
Previous auditing experience
Extensive workers compensation claims background
Strong process management skills
Preferred
Leadership experience in Workers' Compensation
Jurisdictional knowledge and expertise preferred in California (CA), Oregon (OR), or New York (NY)
Benefits
Medical/dental/vision plans, which start from day one!
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave
Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program
And more...
Company
Gallagher Bassett
About Gallagher Bassett: We are the leading provider of claims and risk management services, helping people and companies prevent, manage and overcome the impact of risk.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Mike Hessling
Chief Executive Officer- North America
Scott Hudson
President and CEO
Company data provided by crunchbase