Director, Claims Audit
About The Position
At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. The Director, Claim Excellence Quality Audit, Training & Compliance, is responsible for the daily operational execution of the Claim Excellence program. This role oversees claim quality reviews, calibration of manager reviews, compliance monitoring, and training initiatives to ensure consistent, accurate, and high‑quality claim handling across all claim business units. The Director partners closely with claim leadership to identify gaps, implement action plans, and drive continuous improvement.
Requirements
- 7–10+ years of claim leadership experience in property/casualty or professional liability.
- Deep technical knowledge of claims and claim regulatory compliance.
- Experience in quality audit, claim training, or process improvement.
- Strong analytical and communication skills.
- Ability to lead cross‑functional initiatives and influence without authority.
Responsibilities
- Quality Review Working with the AVP of the Claim Excellence team, lead, manage, and coordinate all claim quality, focused and targeted reviews across units.
- Ensure the enhanced claim review questionnaire is used consistently, including root‑cause analysis and leakage evaluation and claim handling aligns with company protocols.
- Oversee quality control and action plans of claim review outputs.
- Produce results and trend reports for leadership review.
- Calibration & Consistency Facilitate claim management calibration reviews and maintain calibration scoring.
- Ensure consistent application of standards across all claim lines.
- Partner with leadership to maintain alignment.
- Action Planning & Performance Translate claim department claim review results into actionable improvement plans.
- Track and validate action‑plan outcomes tied to performance goals.
- Monitor progress across all claim units and escalate risks.
- Training & Development Integration Partner with learning and development teams to design and deliver curriculum based on claim review findings.
- Support coaching, training and skill‑building for claim examiners and leaders.
- Maintain feedback loops to evaluate training effectiveness.
- Compliance Oversight Ensure claims meet internal claim handling protocols and regulatory requirements.
- Maintain documentation, testing, and claim review trails for compliance reviews.
- Support preparation for regulatory exams and market conduct reviews.
- Leadership & Collaboration Provide day‑to-day direction to claim departments Serve as subject‑matter expert for quality, compliance, and training integration.
- Support strategic objectives as defined by the AVP of Claim Excellence.
Benefits
- discretionary incentive bonus
- benefits package including paid time off, medical, dental and retirement
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
