Casualty Claims Quality Assurance Consultant

In this role, you’ll play a key part in strengthening the quality and consistency of casualty claims handling across the organization. You’ll partner closely with Casualty, Complex, and Specialty teams to review claim files, evaluate performance against best practices and KPIs, and identify opportunities to improve outcomes. Through targeted audits and broader claims reviews, you’ll uncover trends, provide actionable insights, and help drive accountability and continuous improvement. You’ll also collaborate with leadership to shape audit standards, support training efforts, and implement process enhancements that elevate claims handling quality. Your work will directly impact how claims are managed by ensuring consistency, reducing risk, and improving overall results for both the business and its customers.

Essential Functions:

Education & Experience:

• Bachelor’s degree, preferably in insurance, finance, accounting, business administration or related field or equivalent relevant experience

• Eight years of commercial lines casualty claim handling experience, including experience with litigated claims or related experience

• Prior audit experience preferred

• Insurance industry designations (e.g. INS, AIC, CPCU) preferred

Knowledge, Skills & Abilities:

• Excellent understanding of the casualty claims function

• Strong understanding of casualty claims handling procedures, principles, standards and best practices

• Strong knowledge of medical and legal terminology and legal aspects of court procedures affecting legal liability

• Ability to audit claim files for consistency

• Strong ability to gather facts, analyze alternatives and recommend solutions

• Excellent organizational and analytical skills  

• Excellent customer service and communication skills

• Strong computer skills, including Microsoft Office Suite

• Ability to manage multiple tasks and meet deadlines