Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The AVP, Claims Quality Assurance & Performance Management is responsible for leading the reestablishment, design, implementation, and ongoing evolution of Argo’s claims QA program. The role reports to the Clearbrook QA Lead, with a dotted-line to the Chief Claims Officer, Argo at the enterprise level. The AVP will work closely with Argo and Clearbrook senior leadership to align Argo’s QA program with other Clearbrook entities while positioning Argo as the leading example of data-driven claims QA. The role’s core function is claims quality assurance, including file audit methodology, claim handling evaluation, scoring, governance, feedback, and corrective action. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Argo’s claims organization.

Responsibilities

Partner with the Argo Chief Claims Officer and Clearbrook enterprise QA leadership to reestablish Argo’s QA program in alignment with enterprise standards.
Design and implement QA audit methodology, scoring models, and sampling strategies.
Evaluate claim handling quality, including coverage, reserving, documentation, and claim strategy.
Develop structured feedback loops to claims handlers and leadership.
Ensure QA supports compliance, governance, and audit readiness requirements.
Define and align claims KPIs with leadership.
Build reporting and analytics that use QA results as the foundation for evaluating claim quality, operational effectiveness, and KPI performance.
Serve as a key claims performance intelligence link for senior leadership by connecting QA audit results, claims data, KPI reporting, and process assessment findings.
Translate audit findings into training, process improvements, performance actions, and leadership decision-making support.
Deliver executive-level reporting on claim quality, claim adjuster performance, operational trends, and overall Argo business performance indicators.
Oversee Guidewire system utilization audits and data integrity assessments.
Identify operational inefficiencies and recommend corrective actions.
Lead integration of AI-enabled QA tools and automation solutions.
Drive continuous improvement through enhanced audit processes, technology-enabled insights, and operational effectiveness initiatives.

Requirements

A specialized knowledge of managing Quality Assurance programs typically achieved through a Bachelor’s degree.
7 years of progressive P&C claims experience, with strong technical claim handling, coverage, reserving, litigation management, and claim strategy expertise.
Prior leadership experience building, rebuilding, or materially enhancing a claims quality assurance, claim file audit, or claims performance management program.
Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers’ ability to be profitable).
Demonstrated ability to translate QA findings into measurable claim quality improvements, operational changes, training priorities, and performance management actions.
Strong understanding of claims KPIs, audit scoring models, sampling methodologies, performance analytics, and executive-level claims reporting.
Significant experience with Guidewire ClaimsCenter, including system utilization, data integrity, claim documentation standards, and reporting requirements.
Proven ability to use data-driven insights to evaluate claim adjuster performance and identify broader claim operational and business performance trends.
Experience developing structured feedback loops to LOB leaders, claims management, and claim handlers to ensure QA findings result in timely corrective action and sustained improvement.
Experience developing and presenting training materials based on QA audit results, claim handling trends, system utilization gaps, and identified performance opportunities.
Experience partnering with senior claims leadership, LOB leaders, business leaders, compliance, operations, IT/data teams, and training resources to implement enterprise-wide improvements.
Strong change management skills, including the ability to reestablish governance, drive adoption, influence stakeholders, and improve consistency across claim teams.
Excellent written and verbal communication skills, including the ability to prepare clear executive summaries, dashboards, findings reports, and leadership presentations.
A strong focus on execution in getting things done right.
Proven ability to consistently produce and deliver expected results to all stakeholders.
Finding a way to achieve success through adversity.
Being solution (not problem) focused.
Thinking with a global mindset first.
Flexibility, ability to thrive in change, being resourceful on your own necessary to work in a fast paced environment that is evolving constantly.
Must work independently and demonstrate the ability to exercise sound judgment.
Exhibit natural and intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
Proficient in MS Office Suite and other business-related software.
The ability to read and write English fluently is required.
Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.
Applicants must be legally authorized to work in the United States.
At this time, we are not able to sponsor or assume sponsorship of employment visas.

Skills

Claims Quality Assurance
Performance Management
File Audit Methodology
Claim Handling Evaluation
Scoring
Governance
Feedback
Corrective Action
Guidewire Data
KPI Trends
Process Assessment Analytics
Adjuster Performance Evaluation
Manager Performance Evaluation
Senior Leadership Reporting
Claims KPIs
Reporting
Analytics
Operational Effectiveness
Guidewire ClaimsCenter
System Utilization Audits
Data Integrity Assessments
AI-enabled QA tools
Automation solutions
Change Management
MS Office Suite

Location

Omaha, NE
Albany
Chicago
Los Angeles
New York City
Richmond (VA)

Work Type

Full-Time
In-Office
100% in-office position

Experience Level

AVP
7 years of progressive P&C claims experience
Prior leadership experience

Education Level

Bachelor’s degree required
JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred.

Salary/Compensations

Richmond Pay Range: $137,496 - $189,516
Albany and Chicago Pay Range: $151,062 - $208,386
Los Angeles and New York City Pay Range: $165,036 - $227,562

Benefits

Competitive compensation package
Performance-based incentives
Comprehensive benefits program—including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
Annual bonus based on company and individual performance
Generous benefits package

About the Company

Argo Group is an underwriter of specialty insurance products in the property and casualty market.
Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses.
The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.
Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims.
We offer a work environment that inspires innovation and is open to employee suggestions.
We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone.
We encourage talented people from all backgrounds to apply.
At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we apsire to be - guiding how we work, how we lead and how we succeed.

Equal Opportunity

If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.