• Oversight and management of the Claims Quality Assurance Team, including mentoring the team, implementing and coaching through performance improvement plans, and training auditors on job performance expectations. • Reviewing audits of claims, ensuring processing accuracy by verifying all aspects of the audit have been handled correctly and according to both standard processes and the Client’s summary plan description. • Managing the inventory of audits against standard service level agreements (SLA’s) and reporting requirements. • Compiling reporting of audits completed, with decision methodology for procedural and monetary errors which are used for quality reporting and trending analysis utilizing quality tools. • Identifying trends based on the quality reviews, identifies quality improvement opportunities and partners with training team to develop programs. • Partnering with Claims Department Leadership and Training Lead on any problematic issues warranting immediate corrective action.