Position Summary

The Director of Claims Quality Assurance will be part of the Velocity Claims LLC team. This role will be responsible for completing monthly claim file audits for the Claims TPA, ongoing carrier audits, feedback improvement plans. Additionally, this role will be responsible for creating and maintaining best practices, claim guidelines and training plans.

What will your job entail?

Quality Assurance & Audit Management

• Maintain a comprehensive property claims quality assurance program.
• Conduct regular claim file audits to evaluate coverage analysis, investigation quality, reserving accuracy, documentation, and customer service.
• Establish QA KPI metrics, audit standards, and performance benchmarks.
• Identify claim handling trends, deficiencies, and opportunities for improvement.
• Monitor corrective action plans and track improvement trends

Regulatory & Carrier Compliance

• Ensure compliance with state insurance regulations, fair claims handling practices, and company procedures.
• Monitor adherence to carrier-specific claims handling guidelines and authority requirements.
• Support market conduct examinations, carrier audits, and internal compliance reviews.
• Review DOI complaints, litigation trends, and regulatory findings to identify quality concerns.

TPA & Vendor Oversight

• Evaluate performance of TPAs, independent adjusting firms, engineers, and other claim vendors.
• Perform delegated authority audits and operational reviews.
• Assess adherence to service standards, reporting requirements, and authority limitations.
• Collaborate with vendor leadership to improve claim quality and consistency.

Claims Performance Analytics

• Develop and maintain QA dashboards and KPI reporting.
• Analyze trends involving: Coverage accuracy Timeliness Reserve accuracy Large loss management Litigation rates Customer satisfaction Leakage indicators
• Present findings and recommendations to executive leadership and carrier partners.

Training & Continuous Improvement

• Design and deliver claims quality training programs.
• Provide coaching and feedback to adjusters, supervisors, and claims leadership.
• Partner with claims management to implement best practices and process improvements.

Underwriting Feedback

• Partner with Underwriting and Product to provide industry trend analysis and feedback on portfolio.
• Provide feedback on policy language based on claim trends.

#OLR

Ryan Specialty is an Equal Opportunity Employer. We are committed to building and sustaining a diverse workforce throughout the organization. Our vision is an inclusive and equitable workplace where all employees are valued for and evaluated on their performance and contributions. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities. This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions, and benefits of employment.

How We Support Our Teammates

Ryan Specialty seeks to offer our employees a comprehensive and best-in-class benefits package that helps them — and their family members — achieve their physical, financial, and emotional well-being goals. In addition to paid time off for company holidays, vacation, sick and personal days, Ryan offers paid parental leave, mental health services and more.

The target salary range for this position is $124,413.00 - $155,517.00 annually.

The wage range for this role considers many factors, such as training, transferable skills, work experience, licensure and certification, business needs, and market demands. The pay range is subject to change and may be modified in the future. Full-time roles are eligible for bonuses and benefits. For additional information on Ryan Specialty Total Rewards, visit our website https://benefits.ryansg.com/.

We provide individuals with disabilities reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment in accordance with applicable law. Please contact us to request an accommodation at HR@Ryansg.com

The above is intended to describe this job's general requirements. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.