Quality Team Leader overseeing team performance and customer escalations in insurance claims. Driving quality standards and continuous improvement in a remote work environment.
Responsibilities
Lead, coach, and develop a team of Quality Specialists.
Analyze quality, complaint, and performance data to identify opportunities for improvement.
Support process improvements, operational initiatives, and change management activities.
Conduct performance reviews, one-on-one meetings, and coaching sessions.
Monitor productivity, quality, and service levels to achieve team goals.
Manage workload distribution and support operational efficiency.
Serve as the escalation point for complex or high-risk customer escalations, concerns, and complaints.
Oversee quality checks and assurance across the team's work to ensure accuracy, consistency, and adherence to standards.
Ensure quality checks and complaint handling meet regulatory requirements and company standards.
Collaborate with Claims, Quality, Compliance, Legal, and Customer Experience teams to resolve issues and improve outcomes.
Ensure functional rule application locally and support audit process and closing findings as required.
Engage directly with customers and partners to resolve concerns and strengthen relationships.
Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
Requirements
Associate's degree or equivalent combination of education and experience
3+ years of experience in quality assurance, complaints handling, claims, insurance operations, or a related field
Previous leadership, supervisory, or team lead experience preferred
Strong understanding of quality assurance, complaint resolution, and regulatory requirements
Proven coaching and employee development skills
Excellent problem-solving, decision-making, and conflict-resolution abilities
Strong analytical and communication skills
Ability to manage multiple priorities in a fast-paced environment
Proficiency with Microsoft Office and operational reporting tools.
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