Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can 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.

 

This position can either be fully remote (if not within commutable distance to the office) or based in one of our offices:

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

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

#LI-AV1  #LI-Remote

The company is an equal employment opportunity employer.

Our 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.

 

What you can expect:

• Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
• Internal mobility opportunities 
• Visibility to senior leaders and partnership with cross functional teams
• Opportunity to impact change
• Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you for: 

 

Quality Audit Responsibilities:

• 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

Training Responsibilities:

• 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 

What you need to have:

• 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 orientated 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.

We do not accept any unsolicited resumes from external recruiting firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees including:

• Base Salary Range: $70,000 - $90,000
• Benefits include: Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and generous profit-sharing plan

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship not Offered for this Role

Quality Audit Training Specialist 2025