Quality Audit and Training Specialist

Quality Audit and Training Specialist 2025

Quality Audit and Training Specialist is a new dual role focused on claim quality audit and training.

Berkley Accident and Health (a Berkley Company) is a risk management company that designs innovative solutions to address the unique challenges of each client. With an entrepreneurial culture and a strong emphasis on analytics, we help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident.

The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation
, is one of the largest and best managed property/casualty insurers in the United States.

• Hamilton Square, NJ
• West Hartford, CT
• Marlborough, MA
• Kulpsville, PA

• Base Salary Range: $80,000 - $100,000
• Competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401(k), paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

Quality Audit and Training Specialist is a new dual role in the areas of claim quality audit and training. This role will conduct ESL audits related to operational review, SOX and quality reviews, etc. In audits, this role is responsible for designing, delivering and evaluating training programs for new and existing claims staff, developing training materials, and evaluating employee performance through feedback and audits.

Will act as a mentor during the training process and collaborate with subject matter experts and management to identify and address skill gaps.

• Handle department quality audits process related to service standards, adherence to procedural, regulatory and financial requirements.
• Discuss and prepare reports for management regarding all audit results.
• Ensure the Claims manual is updated and distributed as needed.

• Design and create training materials, manuals, e-learning modules, and quick-reference guides for new hires and ongoing professional development.
• Conduct interactive training sessions (in-person and virtual) on claims processes, new procedures, regulatory changes and software systems.
• Assess employee progress through training and provide feedback to both employees and management.
• Monitor adherence to quality and productivity standards and identify trends in claims handling to recommend process improvement.
• Work with management, subject matter experts and other departments to align training with organizational goals.
• Other duties as assigned.

• High School Diploma required.
• 5+ years of experience in claims handling and training within the self-funded insurance industry.
• Excellent organizational, verbal and written communication as well as interpersonal and relationship building skills with the ability to influence and add value to the organization.
• Detail oriented with a high degree of accuracy and ability to multitask.
• Must be highly motivated and able to handle multiple priorities in a consistently changing environment.
• Strong problem solving, decision-making, reporting and analytical skills. Must possess good judgment and work effectively with internal business areas, peers and co-workers.
• Demonstrated proficiency in Connexure (David Young) claims system, Microsoft Office software, including Word and Excel.
• Must exhibit a professional behavior at all times while representing or being identified as an employee of Berkley Accident and Health.

Sponsorship not Offered for this Role.

The company is an equal employment opportunity employer.