Quality Performance Lead-Workers Compensation
About The Position
The Quality Performance Lead specializes in workers’ compensation claims and provides dedicated customer care services to meet client needs. This role designs customized client audits, monitors performance metrics, provides technical training, and assists branches in meeting client expectations. It develops processes and procedures to ensure compliance with client, broker, and carrier expectations. The position oversees resources and direct reports, develops trend analyses, delivers training, and conducts internal and external audits. Additional duties may include preparing executive and monthly oversight reports and reviewing or developing branch-handling processes to improve claim outcomes. The position is 100% remote, and the salary is up to $95,000 per year, dependent upon experience.
Requirements
- High school diploma.
- At least 7 years of related workers’ compensation claims experience, including claims handling experience.
- Formal workers’ compensation Lead experience.
- Experience handling both medical and indemnity claims.
- Previous auditing experience.
- Strong process management and direct leadership skills.
- Ability to interact professionally with all levels of claims management.
- Knowledge of accepted industry standards and practices.
- Computer experience with related claims and business software.
- Jurisdictional knowledge and expertise in any location; candidates from other jurisdictions are also welcome.
Nice To Haves
- Captive experience.
- Bachelor’s degree.
- 7–10 years of workers’ compensation claims experience.
Responsibilities
- Provide dedicated customer care services to clients, specializing in workers’ compensation claims.
- Design customized client audits and monitor performance metrics.
- Provide technical training and assist branches in meeting client expectations.
- Develop processes and procedures to ensure compliance with client, broker, and carrier expectations.
- Oversee resources and direct reports.
- Develop trend analyses.
- Produce and deliver training.
- Conduct internal and external audits.
- Prepare executive reports and monthly oversight reports, as needed.
- Review and develop branch-handling processes to improve claim outcomes.
Benefits
- Comprehensive benefits programs designed to support well-being.
- Career development opportunities and ongoing learning.
- A collaborative, people-first culture with accessible leadership.
- Opportunity to do meaningful work with global reach and local impact.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
