United States onlyLocation Designation: Fully Remote
When you join New York Life, you’re joining a company that values career development, collaboration, innovation, and inclusiveness. We want employees to feel proud about being part of a company that is committed to doing the right thing. You’ll have the opportunity to grow your career while developing personally and professionally through various resources and programs. New York Life is a relationship-based company and appreciates how both virtual and in-person interactions support our culture.
GBS
Quality Review Manager: Claim Review
Locations: Remote
Job Status: Full Time
Role Summary:
The Quality Manager role will lead a Claim Review team responsible for reviewing Claim Manager work and providing insights via industry leading quality and risk management practices. This leader will collaborate with cross-functional teams to identify and reduce business risks, ensure compliance with regulatory requirements, and drive continuous improvement initiatives. The ideal candidate will have excellent communication and influence skills and a strong background in quality management, risk assessment, and business process optimization within the insurance or financial services industry.
ROLE OVERVIEW
- Drive the vision of Quality throughout the organization, establishing a culture that challenges the status quo and fosters business process improvement.
- Acts as a figure of authority / SME regarding review methodology and its application(s) to processes.
- Researches, interprets and responds to inquiries from internal customers regarding identified quality trends and root cause analysis.
- Drive change and influence individuals at all levels of the organization to minimize risks exposure.
- Manages relationship with any compliance, legal and external audit partners (e.g. SOX, SSAE – 16 and Corporate Audit)
- Evaluate Review efficiency in partnership with Business Stakeholders by utilization of quality methodology based on actionable data, such as implementation of KPIs, internal evaluation process, data analysis etc.
- Oversee global and effective communications of review results by ensuring delivery of actionable insights to internal business partners for action plans
- Proposes changes in designing, implementing and monitoring of complex review programs.
- Develops review policies and procedures.
- Design and develop Quality Systems Strategy for Group Operations to ensure consistency of delivery and measurable results in alignment with the expectations of our customers.
- Manages productivity and overall review performance of direct reports.
- Develops functional team members through effective coaching and guidance, empowering and enabling strong leadership from each.
- Leads People Initiatives (with HR) including compensation planning, performance management, staffing and employee relations concerns/issues, employee recruitment, training, teaming and employee development.
- Develops functional team members through effective coaching and guidance, empowering and enabling strong leadership from each.
- Responsible for driving business operations projects and initiatives as assigned.
- Oversees outcomes of audit calibration sessions.
- Maintains audit databases and systems
- Manages Quality Team in regard to internal quality and productivity goals as well as Compliance requirements (e.g. SOX, internal Audit, Privacy…)
ROLE REQUIREMENTS
- Bachelor's degree in a relevant field (Business, Risk Management, Insurance, or a related discipline).
- Minimum of 7 years of experience in quality management, risk management, or related roles, preferably within the insurance or financial services industry.
- In-depth knowledge of quality management principles, risk assessment methodologies, and regulatory requirements related to group benefit solutions.
- Strong analytical and problem-solving skills with the ability to identify and reduce business risks effectively.
- Proven track record of developing and implementing quality and risk management frameworks, policies, and procedures to drive continuous improvement.
- Excellent communication and relational skills, with the ability to collaborate and influence stakeholders at all levels of the organization.
- Exemplified leadership skills and the ability to build and motivate high-performing teams.
- Ability to work in a fast-paced, dynamic environment, managing multiple priorities and deadlines effectively.
- Strong business acumen and critical thinking to align quality and risk management initiatives with overall business objectives.
Salary range: $72,500-$107,500
Overtime eligible: Exempt
Discretionary bonus eligible: Yes
Sales bonus eligible: No
Click here to learn more about our benefits. Starting salary is dependent upon several factors including previous work experience, specific industry experience, and/or skills required.
Recognized as one of Fortune’s World’s Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by the Foundation. We're proud that due to our mutuality, we operate in the best interests of our policy owners. We invite you to bring your talents to New York Life, so we can continue to help families and businesses “Be Good At Life.” To learn more, please visit LinkedIn, our Newsroom and the Careers page of www.NewYorkLife.com.
