Manager, Carrier Operations Quality Management

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Lead the quality management, audit, and testing initiatives for IAIC across assigned insurance operations.

• Develop and uphold a risk-based framework for quality assurance and operational audits.

• Supervise audits and evaluations related to claims, policy administration, licensing, appeals, customer service, fulfillment, and other associated functions.

• Analyze audit findings, detect trends and risks, and offer recommendations for enhancements.

• Track quality metrics and operational performance to facilitate informed decision-making.

• Prepare and deliver reports on audit outcomes, emerging risks, and remediation efforts.

• Assist with regulatory reviews, market conduct examinations, and various carrier oversight activities.

• Collaborate with business leaders and delegated administrators to ensure adherence to regulatory, contractual, and carrier obligations.

• Manage the planning, execution, and validation of corrective actions.

• Assess operational processes, controls, workflows, and system improvements for efficiency and compliance.

• Aid in the testing and validation of new processes, technologies, and regulatory updates.

• Maintain policies, procedures, audit standards, and training materials related to quality management.

• Act as a point of escalation for significant quality, compliance, and operational risk matters.

• Lead, mentor, and cultivate a high-performing Quality Management team.

• Oversee team priorities, workload, and performance to ensure the timely completion of audits and reviews.

• Provide support for hiring, onboarding, employee development, and succession planning.

• Encourage a culture of accountability, collaboration, continuous improvement, and operational excellence.

⛳️ Requirements

• Minimum of 7 years’ experience in insurance operations, quality assurance, auditing, compliance, claims, policy administration, or related areas.

• Proven experience in leading and developing teams.

• Proven track record in managing quality assurance, audit, compliance monitoring, or operational testing programs.

• Strong comprehension of insurance operations and delegated oversight environments.

• Experience in evaluating operational controls, identifying risks, and executing process enhancements.

• Ability to analyze data, resolve complex issues, and communicate insights to leadership.

• Preferred experience in supporting carrier operations and delegated authority programs.

• Preferred experience working with third-party administrators, vendors, or external business partners.

• Preferred experience in managing corrective action plans, remediation efforts, and operational risk initiatives.

• Preferred experience in supporting regulatory examinations, audits, or compliance assessments.

• Professional certifications related to auditing, compliance, quality management, or insurance are preferred.

• A Bachelor’s degree in Business, Insurance, Risk Management, Compliance, Finance, or a related field is preferred.

• Equivalent combinations of education and experience will be considered.

• Knowledge of insurance operations, quality assurance, auditing, compliance, and risk management principles.

• Strong analytical, problem-solving, and decision-making abilities.

• Exceptional written, verbal, and interpersonal communication skills.

• Ability to influence stakeholders and drive corrective actions.

• Strong organizational and project management skills.

• High attention to detail and a commitment to operational excellence.

• Ability to excel in a fast-paced, evolving environment.

🏝️ Benefits

• Comprehensive full medical, dental, and vision insurance.

• Basic life insurance provided at no cost to the employee.

• Company-paid short-term and long-term disability.

• 12 weeks of 100% paid parental leave.

• Health Savings Account (HSA).

• Flexible Spending Accounts (FSA).

• Retirement savings plan.

• Personal paid time off.

• Paid holidays and a company-wide wellness day off.

• Paid time off to volunteer with nonprofit organizations.

• Pet-friendly office environment.

• Commuter benefits.

• Group pet insurance.

• On-the-job training and skills development opportunities.

• Employee Assistance Program (EAP).