Claims Quality Audit Director jobs in Houston, TX

Overview:

If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we're hiring. SageSure, a leader in catastrophe-exposed property insurance is seeking a detail oriented, data driven root cause problem solver with the technical chops to shed light on the quality and accuracy of our claim handling. Desirable candidates will have strong property claims acumen, knowledge to review and assess handling quality and strong data analysis skills. You must be able to work independently on audits of varying scale and partner to relay findings and provide continuous improvement recommendations. As SageSure's Claims team grows, you'll be a key part of writing our next chapter using data-driven storytelling, to illuminate the path to enhancing our claim quality and accuracy. If you're interested in joining our Claims team at an innovative insurtech, we'd like to hear from you.

What you'd be doing:

• Perform open and closed claim file audits, analyzing against quality, compliance, and service standards, leveraging data to create automated file audits where possible.
• Lead stakeholder sessions, translate business needs into expertly documented requirements and craft clear documentation to support our unique assessment workflow.
• Ability to review quality and estimatics data to identify patterns and trends.
• Story tell with data, beyond presenting raw data and translate insights into compelling narratives that drive quality efforts to increase the quality and accuracy of our claim handling.
• Assists Quality Supervisor and Claims Quality and Compliance Program Manager in creating and providing monthly reporting within predetermined reporting parameters or creating data visualization dashboards.
• Present findings and recommendations for process improvements to internal/external stakeholders.

We're looking for someone who has:

• 5 years' prior property claims experience
• 3 years' claims quality experience
• Bachelor's degree or higher in Computer Science
• Experience with Corelogic tools and estimatics data
• Understanding of Power BI, SQL, query skills, and business Intelligence technologies/concepts
• Strong attention to detail, highly self‑driven and results oriented
• Excellent written, verbal and presentation skills along with proficient use of MS Office Suite or similar.

Highly preferred candidates also have:

• Both desk and field property claims experience, liability and litigation experience
• Adjuster licensed in home state or holds a non-resident license if license not required; meets requirements for licensing in additional states as needed
• Data manipulation, algorithm development, and building Machine Learning (ML) models.
• Property reinspection knowledge/experience
• Professional designation(s) (CPCU, SCLA, etc)

About the Claims team at SageSure:

On SageSure's Claims team, you'll be doing more than investigating and resolving losses. From the ground up, you'll be pioneering a best-in-class claims handling approach that leverages transformative technology to support our customers, agents and employees. As a part of this customer-focused, process-oriented team you will be the face of SageSure, helping our policyholders through some of their most trying times. Whether you hold a formal leadership role or are a key team player, you'll coach, mentor and engage with those around you in ways that bring out the best in people and effect change.

You can easily distill complex processes in ways those outside the industry can understand and know the importance of aligning communication tools to customer preferences. You thrive on setting and exceeding expectations, and know building relationships, not completing transactions, is the heart of the insurance business.