Manager Claims Business Controls

Manager, Claims Business Controls

As the Manager, Claims Business Controls, you will own the end‑to‑end Claims Business Control Environment, driving a proactive, data‑driven first‑line control strategy that enhances customer outcomes, elevates quality, and optimizes loss cost performance. In this role, you’ll lead quality assurance across all lines of business, strengthen processes and procedures, and oversee control testing, audits, and risk programs to ensure strong governance and continuous improvement within Claims.

What you will do:

• Own the QA operating system for Claims (TFR automation + manual QAR deep dives), including methodology, sampling, calibration, and thresholds; ensure weekly/Monthly cadence and transparent reporting to leaders.
• Standardize QAR categories (e.g., Communication & Documentation, Coverage/Investigation, Cost Control) and ensure alignment with automated TFR attributes.
• Run cr...