Senior Core QI Specialist - SC Casualty

Description The Senior Core QI Specialist role will, under moderate or limited direction, review and analyze a mix of moderately complex to highly complex Small Commercial (SC) files within the USRM Casualty Claims organization to determine alignment with claims handling standards. In addition, this role provides newly hired / less experienced team members with training, coaching, and mentoring to expedite time to proficiency in the QI Rotational Program (QIRP). Leads, assists, and participates in internal and external calibration events, analysis of results and insights, development of QI reporting, and presentation of findings to Field leaders and stakeholders. Participates in and/or facilitates operational problem-solving events and provides support for the implementation of improvements. This is a full time opportunity, not a rotational role. *This position may have in-office requirements depending on candidate location.* This position is posted as a Grade 14-15. Level of position offered will be based on skills and experience at manager discretion Ideal Experience Includes: Technical knowledge/experience of Small Commercial casualty claims, policies, and coverages Prior work experience in Quality or other related business improvement function Outstanding partnership and influence capabilities Proven track record of getting/driving results Responsibilities Analyzes all aspects of the claim from notification (FNOL) to recovery. Determines alignment with claims handling standards, policies, procedures, and best practices as outlined by Claims LOB leadership and as aligned on during calibration events. Under limited direction, conducts virtual and on-site quality and/or performance reviews of claims files. Accurately tracks and inputs claim file review findings into quality review system. Under limited direction, analyzes quality results and compiles findings to assist the Central QI team in identifying trends and opportunities which, if corrected, would drive improvements within the line of business. Participates in calibration discussions with Central QI and Field teams, including the analysis of overall results. Under limited direction, leads and/or assists in the preparation, presentation, and delivery of results to Casualty Field leadership. Leads and/or assists in driving continuous improvements providing feedback and recommendations to improve Quality processes, tools, systems, etc. that will result in a better product being delivered to the line of business. Collaborates with other QI practitioners to capture best practices, identify efficiencies, and drive consistency across lines of business. Performs other duties as assigned including, but not limited to, onboarding rotational staff into QIRP, special line of business project work, etc. Qualifications Associate`s degree or equivalent training required plus minimum 7-10 years of directly related experience required. Excellent written and oral communication skills required. Excellent interpersonal and analytical skills required. Comprehensive knowledge of Claims department procedures required. Knowledge of assigned product area, general insurance policy coverage and State Tort Law. Employees may apply for a new role after completing 12 months of employment in their current position . Employees should review all role requirements and apply only for positions for which they are eligible. Hiring processes may vary by country, including differences in procedures, requirements, and timelines. For country-specific details, please consult your local recruiting / HR team. Travel 10%