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

We need to output HTML fragment with sections: About the role? Actually the posting includes description. We need headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate like EEO etc. Must preserve all substantive info. We need to parse the posting. Let's extract sections: - About the role: The initial paragraph about AXIS Capital and culture, maybe "This is your opportunity to join AXIS Capital...". That's about the role/company. Could be "About the role". We'll include that. - Responsibilities: The bullet list under "The successful Candidate will be responsible for:" includes 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. Those are responsibilities. We'll put them under

Responsibilities

with

• each. - Requirements: Possibly the "Skills" section includes experience requirements. But we also have "Qualifications" maybe separate. The posting includes "Skills 6–10 years of experience..." and then list of skills. That could be both Requirements and Skills. We need to decide: The instruction says use headings for sections like Skills, Requirements, Qualifications, Benefits, Pay, Schedule. We should separate if content exists. We have: "Skills 6–10 years of experience in commercial P&C insurance..." then bullet list of experience requirements. That's more like Requirements/Qualifications. Then later "Strong technical claims judgment..." etc. That's skills. Also "Bachelor’s degree required; advanced degree..." that's qualifications. We could make: - Requirements: maybe the experience years and specific experience items. - Qualifications: education and certifications. - Skills: the abilities like analytical, communication, etc. But we need to avoid thin sections. Let's see if we have enough content for each. Experience requirements: - 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. That's substantive. Qualifications: - Bachelor’s degree required; advanced degree, CPCU, AIC, ARM, CFE, CIA, CPA, JD, or other relevant professional designation preferred. Skills: - 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. That's good. Benefits: The posting mentions: "competitive target incentive compensation", "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." Also "Some travel may be required", "Ability to work in a hybrid environment (3 days in office)". That's more about work arrangement, maybe Schedule? Actually schedule: hybrid 3 days in office. Travel maybe schedule? We'll treat "Schedule" as hybrid and travel. Pay: "For this position, we currently expect to offer a base salary in the range of 140-160K." Also mention incentive compensation. So we have Pay. Thus we will have sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not include headings with filler. All have content. We must output only HTML fragment, no /. Use

  for headings. Use

  • for lists. Use

    for prose. We need to ensure we preserve all substantive information. Let's capture the About the role prose: The first paragraph(s) up to "This means that we bring our whole selves to work." Also maybe the sentence about "All qualified applicants will receive consideration..." but that's EEO boilerplate; we should remove EEO/equal-opportunity boilerplate. The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. So we must remove the EEO sentence. Also remove the line about "All qualified applicants will receive consideration for employment without regard to any protected characteristic..." That's EEO. So we cut that. Thus About the role: "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." We'll put that in

    . Now Responsibilities: We need to capture each bullet under "The successful Candidate will be responsible for:" and the sub-bullets. We have headings within responsibilities: 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 description. We'll create

    • for each top-level responsibility, and inside each
    • we can put the description as text (maybe with

      inside? But instruction: Use

      • for any list of duties/requirements/benefits, and

        for prose. So for each responsibility we can have

      • containing the description as prose (maybe just plain text). If there are multiple sentences, we can keep them inside
      • . No need for nested
        . That's fine. Let's extract each: 1. 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. We can combine into one paragraph inside
        • . 2. 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. 3. 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. 4. 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. 5. 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. 6. 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. Now Requirements: list of experience items. We'll create
          • each. - 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. Qualifications: - Bachelor’s degree required; advanced degree, CPCU, AIC, ARM, CFE, CIA, CPA, JD, or other relevant professional designation preferred. Skills: - 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. Benefits: - Competitive target incentive compensation (awards based on overall corporate and individual performance). - Comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation