Quality Review Manager

Location Designation: Fully Remote

When you join New York Life, you’re joining a company that values career development, collaboration, innovation, and inclusiveness. We want employees to feel proud about being part of a company that is committed to doing the right thing. You’ll have the opportunity to grow your career while developing personally and professionally through various resources and programs. New York Life is a relationship-based company and appreciates how both virtual and in-person interactions support our culture.

GBS

Role Responsibilities:

The Quality Manager will lead a Claim Review team responsible for evaluating Claim Manager work and providing insights through industry-leading quality and risk management practices. This leader will work collaboratively with diverse cross-functional teams to identify and mitigate business risks, ensure compliance with regulatory requirements, and drive continuous improvement initiatives. The ideal candidate will possess excellent communication and influence skills, along with a strong background in quality management, risk assessment, and business process optimization within the insurance or financial services industry.

What You'll Do:

• Champion the vision of Quality throughout the organization, fostering a culture that embraces continuous improvement and innovation.
• Act as a subject matter expert on review methodology and its application to various processes.
• Research, interpret, and respond to inquiries from team members regarding identified quality trends and root cause analysis.
• Lead change and influence colleagues at all levels to minimize risk exposure.
• Build and maintain relationships with compliance, legal, and external audit partners (e.g., SOX, SSAE-16, and Corporate Audit).
• Collaborate with business stakeholders to evaluate review efficiency using quality methodologies based on actionable data, such as KPIs, internal evaluations, and data analysis.
• Ensure effective communication of review results, delivering actionable insights to internal partners for strategic action plans.
• Suggest improvements in the design, implementation, and monitoring of complex review programs.
• Develop and implement review policies and procedures.
• Design and develop a Quality Systems Strategy for Group Operations to ensure consistent delivery and measurable results aligned with customer expectations.
• Manage the productivity and overall performance of the review team.
• Support and develop team members through coaching and guidance, empowering them to demonstrate strong leadership.
• Lead initiatives related to people management (in collaboration with HR), including compensation planning, performance management, staffing, employee relations, recruitment, training, and development.
• Oversee the outcomes of audit calibration sessions.
• Maintain audit databases and systems.
• Lead the Quality Team in achieving internal quality and productivity goals, as well as meeting compliance requirements (e.g., SOX, internal audit, privacy).
  
  
  

What You'll Bring:

• A Bachelor's degree in a relevant field (Business, Risk Management, Insurance, or a related discipline).
• At least 7 years of experience in quality management, risk management, or related roles, preferably within the insurance or financial services industry.
• Comprehensive knowledge of quality management principles, risk assessment methodologies, and regulatory requirements related to group benefit solutions.
• Strong analytical and problem-solving skills, with the ability to effectively identify and mitigate business risks.
• A proven track record of developing and implementing quality and risk management frameworks, policies, and procedures to drive continuous improvement.
• Excellent communication and interpersonal skills, with the ability to collaborate and influence stakeholders at all levels.
• Strong leadership skills, with the ability to build and motivate high-performing teams.
• Ability to thrive in a fast-paced, dynamic environment, managing multiple priorities and deadlines effectively.
• Strong business acumen and critical thinking skills to align quality and risk management initiatives with overall business objectives.
  
  
  

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Salary range: $72,500-$107,500

Overtime eligible: Exempt

Discretionary bonus eligible: Yes

Sales bonus eligible: No

Click here to learn more about our benefits . Starting salary is dependent upon several factors including previous work experience, specific industry experience, and/or skills required.

Recognized as one of Fortune’s World’s Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by the Foundation . We're proud that due to our mutuality, we operate in the best interests of our policy owners. We invite you to bring your talents to New York Life, so we can continue to help families and businesses “Be Good At Life.” To learn more, please visit LinkedIn , our Newsroom and the Careers page of www.NewYorkLife.com .

Job Requisition ID: 90487