Claims Quality Assurance Manager (Insurance)

Location: Atlanta or Chicago, United States; hybrid with two days in the office weekly.

Salary: $100,000–$130,000 per year, plus performance-based bonus.

Company

hirify.global is an international specialist insurer focused on specialty commercial insurance products and underserved commercial clients.

What you will do

• Set the annual claims quality assurance strategy, review plan, methodology, and risk-based priorities across internal and third-party administrator operations.
• Lead, coach, and develop the Claims Quality Assurance team, including objectives, work allocation, calibration, and performance standards.
• Own the quality assurance framework and governance standards, aligning them with claims best practices, TPA handling guidelines, regulatory obligations, and operational risk requirements.
• Oversee monthly and thematic claim reviews, ensuring appropriate coverage, evidence quality, timely completion, and defensible conclusions.
• Prepare executive reporting on trends, root causes, emerging risks, corrective actions, and business impact; present findings and recommendations to Claims Leadership and stakeholders.
• Drive corrective action, calibration, training, issue escalation, and continuous improvement while monitoring program effectiveness and sustainable remediation.

Requirements

• 10+ years of progressive multi-line claims experience, including significant responsibility for claims quality assurance, auditing, compliance, or operational risk.
• Experience leading, coaching, and developing a team, or providing sustained functional leadership across a quality assurance program.
• Deep knowledge of claims handling practices, regulatory expectations, state DOI standards, compliance, and operational risk.
• Experience collaborating across internal and external teams, including third-party administrators and suppliers.
• Ability to build relationships and influence stakeholders at all organizational levels, with strong facilitation and written and verbal communication skills.
• Ability to analyze complex review findings and data and translate them into executive-level insights, risk assessments, and actionable recommendations.
• Sound judgment, strong organization, change leadership, and the ability to balance competing priorities, respond to emerging risks, and apply a pragmatic, commercial, customer-focused, solution-oriented approach.
• Strong record of driving corrective action, improving processes, and reducing repeat quality deficiencies.

Nice to have

• Subject-matter expertise in claims quality, technical claims handling, or regulatory compliance.
• Experience designing or enhancing quality frameworks, audit methodologies, governance arrangements, or management reporting.
• Experience overseeing TPA quality, vendor performance, or delegated claims arrangements.
• Experience in General Liability, Professional Liability, Property/Inland Marine, or other specialty lines.
• Relevant professional designation in insurance, claims, audit, or compliance.

Culture & Benefits

• Values-driven culture centered on courage, ownership, integrity, connectedness, and humanity.
• Hybrid work arrangement with two office days per week and modern office spaces.
• 401(k) with company matching, health, vision, dental, and FSA plans.
• Paid parental leave, company-paid life and disability coverage, and a four-week paid sabbatical after every five years of service.
• Financial adoption assistance, medical travel reimbursement, and annual fitness reimbursement of up to $600.