Director, TPA Governance (Quality Audit)

Safety National

  • Saint Louis, MO
  • $113,000-148,000 per year
  • Permanent
  • Full-time
  • 23 days ago
Description :At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today!Follow this link to view all of our available careers and apply:This opportunity is in the Claims department.Our Claims Department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities.Role Description:Are you a seasoned expert in claims quality and operational excellence? As the Director of TPA Governance, you’ll lead the development and execution of a comprehensive Claims Quality Assurance Program designed to elevate claims performance and ensure consistent, high-quality handling practices. In this strategic role, you’ll establish quality standards, implement a quality management system, and oversee performance evaluations for both TPAs and self-administered claims programs. You’ll also build and guide a team of Claims Quality Auditors, fostering a culture of continuous improvement, regulatory compliance, and data-driven decision making. Collaborating across departments—including Compliance, Risk Control, BI, and Finance—you’ll play a pivotal role in enhancing claim outcomes and aligning with business objectives. This position is located in our St. Louis, MO, office and includes travel for audits, client meetings, and industry events.Qualifications:Education:A bachelor’s degree in Business, Insurance, Risk Management, or a related field is required.Required Qualifications:
  • Must be presently authorized to work in the U.S. without a requirement for work authorization sponsorship by our company for this position now or in the future
  • This position allows for a hybrid work schedule which includes a minimum of 3 days per week in our St. Louis Corporate Office, located at 1832 Schuetz Rd. Saint Louis, MO. All employees are required to submit work from home requests and follow our Work From Home policy, which will be provided to all candidates selected to interview.
  • 10 or more years of experience in Claims Quality, Claims Operations, or a related role, with expertise in both Workers’ Compensation and Liability claims
  • Experience leading teams focused on performance improvement and operational consistency
  • Proven track record of success in quality audit program development, process improvement, and performance analytics
  • Strong leadership and analytical skills with the ability to translate data into actionable insights
  • Excellent written and oral communication skills
Preferred Qualifications:
  • Experience with oversight of Third Party Administrators (TPAs) and/or Self-Administered claim programs
  • Proficiency in claims management systems, quality tracking software, and data analysis tools
  • Certifications such as Certified Quality Auditor (CQA) or Lean Six Sigma
Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world.Total Rewards That Put Employees FirstIn our vision to be First with Co-Workers, compensation that includes base salary, holiday bonus, and incentive awards is only a small portion of the comprehensive total rewards package we offer. Our total rewards approach recognizes and rewards the time, talents, efforts, and results of our valued employees. Highlights of our exceptional benefits include generous health, dental, and vision coverage, health savings accounts, a 401(k)-retirement savings match and an annual profit sharing contribution. We proudly offer family forming benefits for adoption, fertility, and surrogacy, generous paid time off and paid holidays, paid parental and caregiver leave, a hybrid work environment, and company-paid life insurance and disability. To support employees in their career journeys, we provide professional growth and development opportunities in addition to employee recognition and well-being programs. Apply today to learn more.Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target base salary range for this position is $113,000 to $148,000. Compensation for the successful candidate will consider the candidate’s particular combination of knowledge, skills, competencies, experience and geographic location.#LI-Hybrid

Safety National