Claims Quality Assurance Director

Responsible for overseeing a comprehensive claims quality assurance program, the full-time salaried Claims Quality Assurance Director will conduct audits, ensure regulatory compliance, and develop training programs, all while working remotely from Arizona. Key responsibilities Conduct monthly claim file audits and establish QA metrics and performance benchmarks Ensure compliance with state regulations and carrier-specific claims handling guidelines Design and implement training programs for claims quality improvement Required qualifications Proven experience in claims quality assurance or a related field Strong understanding of insurance regulations and compliance standards Experience in performance analytics and KPI reporting Ability to develop and deliver training programs Familiarity with vendor and TPA oversight processes