Claims Quality Assurance Manager

Insight Global is seeking a Quality Assurance Manager professional for a leading insurance and claims management client. This individual will serve as the technical claims expert responsible for auditing claims operations, ensuring compliance with carrier and industry standards, and driving continuous quality improvement initiatives. The ideal candidate will possess deep claims management expertise and be passionate about improving operational performance through auditing, coaching, reporting, and training.

In this role, the candidate will partner closely with claims leadership and operations teams to evaluate claim quality, reserving practices, investigations, financial accuracy, and regulatory compliance. They will also develop and deliver training programs, lead calibration exercises, analyze audit trends, create corrective action plans, and support system testing efforts. This is an excellent opportunity for a claims professional who enjoys combining technical expertise, quality assurance, education, and process improvement in a fully remote environment.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Bachelor’s degree in Business Administration or related field, OR 5+ years of equivalent claims management experience
Significant experience in healthcare, insurance, or third-party claims administration
Strong project management, organizational, and time management skills
Quality Assurance experience - specifically within Claims
Claims handling experience in Texas

Certified Trainer certification or training experience

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.