Project Leader

Requirements

• Required
• Education:
• Bachelor's degree in Business Administration, Insurance, technology, or a related field
• Conducting comprehensive internal quality audits and documenting findings
• Building consensus between managers of multiple areas
• Researching company procedures and guidelines as well as industry best practices
• Analyzing an operation, evaluate audit findings, develop opinions/conclusions and conduct closing meetings
• Analyze data to determine potential problems, identify missing information, etc.
• Analyzing problems to identify causes
• Applying advanced auditing tools and techniques
• Identifying trends and assess potential impact
• Working effectively under pressure
• Assessing fraud potential and make appropriate referrals for investigation
• Achieving stated objectives within designated timeframe
• Analysis and problem solving
• Project planning and management
• Risk assessment and root cause analysis
• Auditing/consulting/evaluating insurance processes
• Knowledge and Skills:
• Knowledge of:
• Insurance policy provisions and coverage terminology
• Insurance laws and regulations
• Underwriting quality standards
• Rating & Underwriting accuracy
• Quality audit techniques and/or internal control concepts
• Descriptive statistics
• Audit sampling theories
• Investigation techniques
• Negotiation techniques
• Advanced root cause analysis techniques
• Quality concepts and conventions, such as Six Sigma, Total Quality, continuous improvement concepts, Quality Function Deployment, LEAN, etc., including a level of knowledge sufficient to adapt and implement concepts into company activities and processes
• Internal controls
• Microsoft Office applications (e.g., Word, Excel, PowerPoint, and Access)
• Google Cloud Platform Dashboards
• Ability to:
• Lead a project team
• Ensure accuracy of information
• Demonstrate an elevated level of objectivity, confidentiality, and professionalism
• Provide oversight to all aspects of quality and compliance review activities
• Review internal quality audit work-paper documentation and reports
• Communicate effectively with others in all levels of the organization, including conducting audit opening and closing meetings and making special presentations when requested
• Build consensus between State Product Management, Actuarial Pricing, Central Services, Field Management & Underwriting.
• Communicate effectively with others in a work environment
• Research company procedures and guidelines as well as industry best practices
• Analyze an operation, evaluate audit findings, develop opinions/conclusions, and conduct meetings
• Analyze problems to identify caus

Benefits

Additional Information

Job Type: Full time Exempt/Non Exempt: Salary Job Description: Location Details: Remote Position Schedule / Shift: Monday - Friday, 8am - 5pm Position Summary: Applicants for this position are required to be eligible to lawfully work in the U.S. immediately. Employer will not sponsor applicants for U.S. work authorization (example: H-1B visa) for this role. Provides guidance and direction to a project team of individuals responsible for the review of highly complex insurance product, underwriting and related practices that measure product performance, underwriting practices, quality controls and monitor the activities of underwriting vendors to ensure adherence to corporate standards for a particular line of business and ability to achieve optimal results from a profitability standpoint. Make recommendations to increase profitability. Ensures the timely and accurate completion of assigned individual and team tasks. Develops scope and identify next steps for assigned projects. Works with Management to develop reporting and analytics. Works with the team to identify opportunities to streamline workflow and processes utilizing GCP, Excel and their knowledge of how data flows. Collaborates with field management and the team to build and enhance dashboards. Must understand the data structure and data availability in order to advise on capabilities. Summarizes findings at an agent level and presents findings to management. Analyzes cost/benefit across Product features & Underwriting Practices to ensure or increase optimization of profitability. Participates in meetings with agents & managers to share results. Works in conjunction with Internal Audit on confidential and/or special projects and employee investigations. Conducts analyses to identify underlying trends and improvement opportunities and provides results and recommendations to management. Develops policies and procedures relative to the audit process as indicated. Reviews Underwriting reporting budget and analyzes cost-benefit. Builds trials to evaluates opportunities for new vendor solutions to assess cost/benefit and potential to increase optimization across Product & Underwriting. May collaborate directly with vendors. Performs special projects as requested and may provide guidance & direction for others working on the project. Supervisory Responsibilities: None

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