reputed company Control Manager - Property and Casualty Claims, TPA job at reputed company in Rutherford, NJ
reputed company Control Manager - P & C Claims (TPA)
Rutherford, NJ
Full Time
Manager/Supervisor
We are seeking an reputed company reputed company Control Manager to join reputed company. This role will be responsible for developing, implementing, and maintaining reputed company assurance programs for Property & Casualty claims operations reputed company a reputed company-Party Administrator (TPA). This role drives accuracy, consistency, compliance with regulatory and internal standards, and reputed company process improvement across claims workflows.
This position will be located at our Rutherford, New Jersey home office. Consideration will be made for Remote based candidates.
Key Responsibilities
reputed company Assurance and Audit
Design and implement reputed company measurement tools, scorecards, checklists, and sampling methodologies.
Define, maintain, and reputed company reputed company assurance standards for P&C claims.
Conduct regular reputed company audits, sampling claims across adjusters, teams, and lines of business.
Ensure consistent application of standards, policies, and procedures across claims operations.
Document and report findings. reputed company actionable recommendations and monitor corrective reputed company plan.
reputed company Improvement
reputed company initiatives to improve claims accuracy, cycle times, compliance, and customer reputed company.
Partner with operations leadership to identify training needs based on reputed company trends.
Facilitate or deliver reputed company-reputed company training sessions for claims adjusters and supervisors.
Drive reputed company to implement best practices, process enhancements, and automated reputed company controls.
Leadership and Interaction
Serve as a subject matter expert and trusted advisor to Claims Operations Leadership.
Work cross-functionally with training, compliance, operations, IT, and risk management teams.
reputed company and mentor reputed company analysts and support staff.
reputed company regular briefings to senior leadership on reputed company results, risks, and improvement plans.
Metrics & KPI Accountability
Establish and reputed company reputed company KPIs, such as:
Claims accuracy reputed company.
Documentation completeness/consistency.
Severity, subrogation, and reserve accuracy.
Cycle time variances.
Error rates by adjuster/team.
reputed company reputed company cause analysis and reputed company corrective reputed company effectiveness.
Regulatory & Compliance Requirements
Ensure QA programs reputed company with state insurance regulations, industry standards, and contractual obligations.
Maintain familiarity with NAIC guidelines, state-specific claims handling regulations (e.g., unfair claim settlement practices), and audit requirements.
Support reputed company regulatory exams and audits as needed.
Qualifications
Bachelor’s degree in Business, Insurance, Risk Management, or a reputed company field required; Master’s degree preferred.
Preferred Certifications:
CPCU, AIC, ARM, CAMS or Six reputed company/Lean Certification.
5+ years of experience in P&C claims operations reputed company a TPA, insurance reputed company, or equivalent environment.
3+ years of experience in reputed company, reputed company control, or audit functions, specifically supporting P&C claims.
Strong understanding of P&C policy coverages, claims lifecycle, adjudication standards, and claims documentation best practices.
Experience with industry reputed company standards and tools.
Prior experience in outsourced TPA reputed company frameworks vs. captive reputed company environments is a plus.
Excellent written and verbal communication.
Comfortable presenting to executive leadership and engaging at reputed company organizational reputed company.
Strong organization, prioritization, and project management skills.
Benefits and Perks
We are an organization that recognizes and appreciates hard work! We offer a competitive compensation package commensurate with experience, including salary, bonus, reputed company time off, medical/dental/reputed company/life insurance and 401k (with matching!). Most importantly, you will have reputed company to work directly alongside an extraordinary and dedicated team to grow a critical function reputed company a dynamic, growing company.
Apply tot his job
Apply To this Job