Senior Quality Improvement Specialist

About the role

Company Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. We are looking for a highly effective Senior Quality Improvement Specialist to join our team and work from our Omaha office; alternatively, the position can be filled in our Albany, Chicago, Los Angeles, New York City, or Richmond (VA) offices. This is a 100% in‑office role requiring on‑site work during standard business hours. Core Values at Clearbrook are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking.

Responsibilities

• Under technical supervision and working within significant limits and authority, conduct and document data‑driven claim audits in the designated audit system within established timelines, having a direct impact on department results.
• Evaluate claim files for adherence to enterprise standards and gaps between actual and optimal claims outcomes, including but not limited to the areas of coverage analysis, liability, estimates, accurate and timely reserving, documentation, and compliance with internal standards, regulatory requirements, and quality expectations.
• Analyze audit results and perform focused audits on specific trends as needed to identify gaps and opportunities for improvement.
• Translate audit findings into training, process improvements, and performance actions to claims staff and leadership.
• Escalate critical findings and provide immediate feedback to leadership when urgent action is needed on a claim.
• Participate in internal calibration activities within the Quality team to ensure scoring consistency.
• Partner with leadership to support training initiatives and process improvements.
• Consistently demonstrate exceptional customer service and appropriate technical expertise, maturity and a professional commitment to excellence.
• Having an appreciation and passion for data analysis, process improvement, and training that elevates strong claim management throughout the department.

Requirements

A broad theoretical knowledge