Jobs · New Jersey

Senior Manager, Quality Assurance and Audit, North America Claims, Claims Shared Services

AXIS (AXIS Capital) · Princeton, NJ · 1 mo ago
HybridFull-time
We need to output HTML fragment with sections: About the role? Actually we need to use

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title as heading. We need to include sections only if posting has real specific content. We need to extract content: The posting includes description about AXIS, role description, responsibilities (list of duties), skills/experience requirements, qualifications (education, certifications), benefits, pay, schedule (hybrid, travel). Also maybe "Additional Information" includes hybrid, travel, salary range, benefits, FLSA exempt/non-exempt. We must not include boilerplate like EEO, legal, etc. Also remove duplicated lines, navigation, cookie, application instructions. We need to preserve all substantive info. We need to decide sections: Probably "About the role" could be a brief description of the role and team. Could combine intro paragraphs about AXIS and role. But we must not repeat job title as heading. So we can have

About the role

with a paragraph summarizing the role and context. Then

Responsibilities

with
  • list of duties. The posting lists responsibilities under "The successful Candidate will be responsible for:" with subheadings: Claims Audit Program Management, Audit Results, Analytics, and Reporting, Compliance, Controls, and Remediation, SIU and Fraud Audit Program, Technical Excellence and Continuous Improvement, Stakeholder Management. Each has bullet-like sentences. We can turn each sentence into
  • . Could group under each subheading? But we only have
    • for any list. Could create nested lists? Probably just a flat list of responsibilities. We need to preserve all substantive info; we can break into multiple
    • items. Then

      Requirements

      maybe for experience requirements? Or "Skills" section for skills. The posting has "Skills" heading with list of experience and skills. Also "Additional Information" includes hybrid, travel, salary, benefits, FLSA. We need sections: Skills, Benefits, Pay, Schedule. Also maybe Qualifications (education, certifications). The posting mentions Bachelor’s degree required; advanced degree, certifications preferred. That could go under Qualifications. Thus sections: About the role, Responsibilities, Requirements (maybe experience), Qualifications (education/certifications), Skills (maybe technical skills), Benefits, Pay, Schedule. But we must avoid thin sections. Let's see content: - About the role: description of AXIS, team, role purpose. Good. - Responsibilities: detailed list. - Requirements: maybe "6–10 years of experience..." etc. That's experience requirements. - Qualifications: Bachelor’s degree required; advanced degree, certifications preferred. - Skills: list of technical skills (Excel, PowerPoint, etc.) plus analytical etc. Actually the "Skills" section includes both experience and skills. Could combine experience and skills into Requirements and Skills. But we need to follow instruction: Use headings exactly as given: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we must use those headings if we have content. We need to decide what goes where. Let's map: About the role: introductory paragraph about AXIS and the role. Responsibilities: the bullet list of duties. Requirements: experience requirements (6-10 years, 3 years managing audits, experience with TPAs, etc.) Qualifications: education (Bachelor’s degree required; advanced degree, certifications preferred) Skills: technical skills (Excel, PowerPoint, Word, reporting tools) plus analytical, communication, etc. Could also include "Strong technical claims judgment", etc. Benefits: comprehensive benefits package (medical plans, health and wellness, retirement, tuition reimbursement, paid vacation, etc.) Pay: salary range 140-160K base, plus target incentive compensation. Schedule: hybrid environment (3 days in office), some travel may be required. We must not include filler like "commensurate with experience". We have specific salary range. We must not include FLSA exempt/non-exempt placeholder "[Exempt/Non-Exempt]" - that's not specific; we should drop it because it's placeholder. The posting says "Where this role is based in the United States of America, this role is [Exempt/Non-Exempt] for FLSA purposes." That's not specific; we should omit. Also drop "This posting is for an existing vacancy." maybe minor metadata; could be folded into a short p or dropped. Probably drop. Now produce HTML fragment. We need to wrap sections in

      and then content. For lists, use
      • . For prose, use

        . We need to avoid repeating job title as heading. Let's craft. First, About the role: combine sentences: "This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work." Then role specifics: "Senior Manager, Quality Assurance and Compliance | North America Claims, Claims Shared Services- AXIS is seeking a Senior Manager, Quality Assurance and Audit, North America Claims to join the Claims Shared Services team. Reporting to the Head of Quality Assurance and Compliance, Claims Shared Services, this role will lead, oversee, enhance and optimize the North America claim direct handle, manager quality review and TPA oversight audit program. The role will also coordinate, oversee, and enhance the North America Claims SIU and Fraud program." That is substantive. We can put that in

        . Responsibilities: list items. We need to capture all responsibilities bullet points. From posting: Claims Audit Program Management: - Lead and report on the North America claim handler audit program, TPA oversight audit program, and leadership quality control file review program across multiple lines of business. - Manage end-to-end audit execution, including planning, scope, scheduling, sample selection, file collection, stakeholder communications, and audit readiness. - Coordinate with claim leaders, specialty claim handlers, TPAs, audit vendors, Compliance, Legal, Internal Audit, and Operations to ensure consistent, timely audit delivery. - Enhance audit standards, questionnaires, scorecards, and methodologies in line with claim best practices, regulatory expectations, and technical excellence standards. - Review audit observations across coverage, liability, damages, reserving, litigation management, settlement strategy, documentation quality, compliance, and claim handling controls. - Track findings, action plans, remediation activities, owner accountability, due dates, and closure evidence. Audit Results, Analytics, and Reporting: - Gather, validate, and analyze audit results, quality assurance data, compliance findings, and technical claim handling trends. - Develop dashboards, scorecards, and management reports covering quality review results, technical audit outcomes, recurring themes, risk areas, trends, and improvement opportunities. - Prepare monthly, quarterly, and annual reporting for Claims leadership and governance forums, covering claim handler audit results, TPA oversight audit results, and leadership quality control file review outcomes. - Measure audit effectiveness, remediation progress, transparency, accountability, and control discipline. Compliance, Controls, and Remediation: - Partner with Compliance, Legal, Internal Audit, Claims Operations, and Claims Leadership to align audit activity with regulatory, governance, and operational risk priorities. - Monitor findings related to Medicare, regulatory obligations, documentation standards, claim handling controls, and other compliance requirements. - Maintain action plans that address findings, strengthen controls, and promote consistent claim handling across North America specialty claim teams, TPA claim programs, and leadership quality control file reviews. - Escalate material issues, recurring trends, control gaps, and remediation delays to appropriate leaders and governance forums. SIU and Fraud Audit Program: - Enhance, measure, and report on the SIU and fraud deliverable program as part of the North America claims audit program. - Assess whether SIU and fraud deliverables are timely, complete, consistent, and aligned with claim handling expectations, regulatory obligations, and technical audit standards. - Identify themes, control gaps, escalation issues, documentation weaknesses, and opportunities to improve fraud identification, referral quality, and SIU oversight. - Partner with SIU, Compliance, Claims leadership, TPAs, and audit vendors to strengthen execution, reporting, accountability, and remediation follow-through. Technical Excellence and Continuous Improvement: - Use audit and quality control file review insights to improve technical claim quality, consistency, reserving discipline, litigation management, settlement practices, and compliance execution. - Support updates to claims guidelines, audit protocols, procedures, workflows, controls, and training materials based on audit trends and root-cause analysis. - Provide practical recommendations to claim leaders, specialty claim handlers, TPAs, and business partners to improve claim outcomes and audit performance. - Participate in governance meetings, working groups, and initiatives related to claims quality, audit readiness, and technical excellence. Stakeholder Management: - Build effective relationships across North America Claims, specialty claim teams, TPAs, Compliance, Legal, Internal Audit, Actuarial, Finance, Operations, and Shared Services. - Manage day-to-day coordination with external audit vendors, including schedules, deliverables, issue tracking, reporting inputs, and performance expectations. - Provide audit and quality assurance subject matter support to claim leaders, specialty claim handlers, TPA managers, and governance stakeholders. - Communicate findings, themes, risks, and recommendations clearly to management and senior leadership. We'll put each bullet as

      • . Requirements: experience requirements. From posting: "Skills 6–10 years of experience in commercial P&C insurance, reinsurance, specialty claims, claims audit, quality assurance, compliance, operational risk, or a related discipline. Minimum 3 years of experience supporting or managing claims audits, quality assurance reviews, compliance monitoring, operational controls, or remediation tracking. Experience working with TPAs, outsourced claims partners, audit vendors, or vendor oversight programs. Experience auditing specialty claim files across multiple lines of business and supporting technical claim quality reviews. Experience developing audit reports, dashboards, metrics, scorecards, or performance analytics for leadership review." We'll put these as
      • . Qualifications: education. "Bachelor’s degree required; advanced degree, CPCU, AIC, ARM, CFE, CIA, CPA, JD, or other relevant professional designation preferred." We'll put as

        maybe. Skills: technical skills and soft skills. From posting after qualifications: "Strong technical claims judgment and ability to assess claim handling quality across coverage, liability, damages, reserving, litigation, settlement, and documentation practices. Strong analytical, communication, project coordination, organizational, stakeholder management, and vendor management skills. Ability to identify themes, root causes, risks, control gaps, performance improvement opportunities, and remediation priorities. Ability to manage multiple audits, stakeholders, priorities, and deadlines in a fast-paced environment. Strong proficiency in Excel, PowerPoint, Word, and reporting tools." We'll list as

      • . Benefits: "competitive target incentive compensation, with awards based on overall corporate and individual performance. In addition, you will be offered competitive target incentive compensation... On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more." We can combine: "competitive target incentive compensation" plus benefits. We'll make
        • for each benefit item. Pay: base salary range 140-160K. We'll put as

          maybe. Schedule: hybrid environment (3 days in office), some travel may be required. We'll put as

          . Now ensure we don't include any boilerplate like EEO etc. We already omitted. Now produce HTML. We need to output only

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