Manager, Carrier Operations, Quality Management

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

📋 Description

• Direct IAIC’s quality management, audit, and testing initiatives across assigned insurance operations.

• Create and sustain a risk-based quality assurance and operational audit framework.

• Manage audits and assessments for claims, policy management, licensing, appeals, customer service, fulfillment, and other related areas.

• Analyze audit results, detect trends and risks, and offer suggestions for enhancement.

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

• Compile and present reports on audit findings, emerging risks, and remediation actions.

• Assist with regulatory reviews, market conduct investigations, and other carrier oversight activities.

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

• Supervise corrective action planning, execution, and validation.

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

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

• Maintain quality management policies, procedures, audit standards, and training resources.

• Act as a point of escalation for major quality, compliance, and operational risk challenges.

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

• Oversee team priorities, workloads, and performance to ensure timely completion of audits and evaluations.

• Support recruitment, onboarding, employee development, and succession planning.

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

⛳️ Requirements

• Over 7 years of experience in insurance operations, quality assurance, auditing, compliance, claims, policy management, or similar areas.

• Proven experience in leading and developing teams.

• Background in managing quality assurance, audit, compliance monitoring, or operational testing programs.

• Strong grasp of insurance operations and delegated oversight frameworks.

• Proven experience in assessing operational controls, recognizing risks, and executing process improvements.

• Competency in data analysis, resolving complex issues, and conveying findings to leadership.

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

• Equivalent combinations of education and experience will be taken into account.

• Experience supporting carrier operations and delegated authority programs is preferred.

• Familiarity with third-party administrators, vendors, or external business partners is preferred.

• Experience overseeing corrective action plans, remediation projects, and operational risk initiatives is preferred.

• Experience aiding regulatory examinations, audits, or compliance assessments is preferred.

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

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

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

• Strong written, verbal, and interpersonal communication skills.

• Ability to influence stakeholders and implement corrective measures.

• Excellent organizational and project management skills.

• High attention to detail and commitment to operational excellence.

• Capability to thrive in a fast-paced and evolving environment.

🏝️ Benefits

• Comprehensive full medical, dental, and vision insurance.

• Basic life insurance 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 at nonprofit organizations.

• Pet-friendly office environment.

• Commuter benefits.

• Group pet insurance.

• On-the-job training and skills development.

• Employee Assistance Program (EAP).