---
title: 'Senior Claims Quality Assurance Auditor at Pie Insurance'
canonical: 'https://feeny.ai/job/senior-claims-quality-assurance-auditor-pie-insurance-united-states-rhk918se0kwx'
type: 'job'
last_seen: '2026-11-06'
---

# Senior Claims Quality Assurance Auditor at Pie Insurance

- **Company:** Pie Insurance
- **Location:** United States
- **Compensation:** $90k–$115k
- **Posted:** 2026-10-27
- **Last confirmed live:** 2026-11-06
- **Apply:** https://job-boards.greenhouse.io/pieinsurance/jobs/6236769004

## Job description

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.

Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by [core values and operating principles](https://pieinsurance.com/culture) that guide every decision we make.

The Senior Claims Quality Assurance Auditor will conduct regular audits and assessments of Pie's claims handling processes to ensure adherence to Claims Best Practices, regulatory standards, and internal guidelines. This role is responsible for reviewing claim files for compliance, identifying areas of non-compliance, and recommending corrective actions to improve claims quality. The auditor will collaborate with Claims teams, prepare detailed audit reports, and support the development of quality control policies and training programs that drive continuous improvement in claims performance and ensure regulatory compliance.

## How You'll Do It

Claims Audit & Assessment

- Conduct regular audits and assessments of quality management systems and claims handling processes
- Review claim files to verify compliance with regulatory standards, statutory requirements, and internal guidelines
- Evaluate claims for adherence to Pie's Claims Best Practices and quality standards
- Assess claim documentation, investigation techniques, reserve adequacy, and settlement practices
- Identify areas of non-compliance and recommend corrective actions to address deficiencies
- Apply established audit methodologies and sampling techniques to ensure comprehensive evaluations

Documentation & Reporting

- Document audit findings with clear, detailed explanations of deficiencies and best practices observed
- Prepare comprehensive audit reports for management that include findings, recommendations, and action items
- Analyze data to identify trends, patterns, and areas for improvement across the claims organization
- Provide timely feedback to adjusters and Claims leadership on audit results
- Maintain accurate records of all audits, findings, and corrective action plans

Quality Control & Process Development

- Collaborate with various departments to ensure quality standards are met consistently
- Develop and update quality control policies and procedures based on audit findings and regulatory changes
- Assist in developing quality assurance goals and objectives aligned with department strategies
- Recommend process improvements to enhance claims quality and operational efficiency
- Support the implementation of new quality standards and best practices

Compliance & Corrective Action Monitoring

- Monitor the implementation and effectiveness of corrective and preventive actions
- Track remediation efforts to ensure deficiencies are addressed in a timely manner
- Verify that corrective actions result in sustained improvements in claims quality
- Coordinate with external auditors and facilitate external audit processes when needed
- Stay current with regulatory changes and industry best practices that impact claims quality

Training & Knowledge Sharing

- Train staff on quality assurance policies, procedures, and industry best practices
- Provide coaching and guidance to adjusters on claim handling techniques and compliance requirements
- Conduct training sessions on common audit findings and remediation strategies
- Share knowledge of regulatory requirements and Claims Best Practices with Claims teams
- Support Claims Learning & Development initiatives with quality-focused training content

Cross-Functional Collaboration

- Partner with Claims Adjudication team to address quality issues and implement improvements
- Work with Claims Regulatory Compliance team to ensure audits capture all compliance requirements
- Collaborate with Claims Learning & Development team to develop targeted training based on audit findings
- Coordinate with Claims Data & Analytics team to support quality reporting and trend analysis
- Communicate with Claims leadership on quality trends and recommended actions

The Right Stuff

Required Experience & Education

- High School diploma or GED required; Bachelor's degree in Business Administration, Risk Management, or related field preferred
- 8+ years of workers' compensation claims experience with strong understanding of claim handling practices
- 3+ years of experience in claims auditing, quality assurance, or compliance roles preferred
- Minimum of 2 years of California workers' compensation claims experience required.
- Strong knowledge of Claims Best Practices and regulatory requirements across multiple jurisdictions
- Experience conducting claim file reviews and documenting audit findings

The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $90,000—$115,000 USD

## Compensation & Benefits

- Competitive cash compensation
- Comprehensive health plans
- Generous PTO
- Future focused 401k match
- Generous parental and caregiver leave
- Our [core values](https://pieinsurance.com/culture/) are more than just a poster on the wall; they’re tangibly reflected in our work

Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations.

Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.

Location Information

Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet.

Additional Information

Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.

Pie Insurance participates in the E-Verify program. Please click [here](https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf), [here](https://www.justice.gov/crt/case-document/file/1133936/download) and [here](https://www.justice.gov/crt/case-document/file/1133941/download) for more information.

Pie Insurance is committed to protecting your personal data. Please review our [Privacy Policy](https://pieinsurance.com/privacy/).

Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.

[Pie Named to 2025 America's Best Startup Employers](https://www.forbes.com/lists/americas-best-startup-employers/)

[Pie Insurance 2025 State of Workplace Safety Report](https://www.pieinsurance.com/resource-center/press/2025-state-of-workplace-safety-report)

## #LI-REMOTE

## #BI-REMOTE

## About Pie Insurance

## Company Overview
- **One-liner**: Pie Insurance provides workers’ compensation and commercial auto insurance to small businesses through a technology-driven platform, offering quick quotes and significant savings.
- **Entity Type**: Private (over $615 million in total funding raised)
- **Headquarters**: Denver, Colorado, USA (remote-first company)
- **Founded**: 2017
- **Founders**: John Swigart (co-founder and CEO)

## Core Business
- **Primary industry**: Insurtech / Commercial Property & Casualty Insurance
- **Target customers**: Small businesses (B2B) and local/regional insurance agencies (B2B channel partnerships)
- **Mission statement**: “To make commercial insurance affordable and easy as Pie, empowering small businesses to thrive.”

## Products & Services
- **Workers’ Compensation Insurance**: A fully digital, agent-friendly and direct-to-business platform that provides quotes in ~3 minutes, covers 70% of class codes, and auto-decides 73% of submissions – helping customers save up to 30% compared to traditional carriers.
- **Commercial Auto Insurance**: Launched to expand Pie’s small-business insurance suite, offered through the same streamlined quote-to-claim experience.

## Market Standing
- **Valuation / Market Cap**: Not publicly disclosed
- **Key Metric**: Total funding >$615 million (as of most recent raise); headcount ~350 employees (Built In estimate)
- **Notable Investors / Partners**: Investors include Gallatin Point Capital, Greycroft, and other leading insurtech and growth-equity firms (specific list not fully detailed on company site). Pie partners with local, regional, and national insurance agencies.
- **Growth Signals**: Available in 39 states + Washington, D.C.; 70% of workers’ comp class codes covered; 73% of submissions auto-decided; average quote time 3 minutes; expansion into commercial auto; remote-first workforce of ~350 Pie-oneers.

## Competitive Advantages
- **Technology moat**: Proprietary underwriting engine that delivers instant, data-driven quotes and high automation rates, reducing friction for agents and small businesses.
- **Distribution model**: Dual channel – direct-to-small-business and a strong agency partner network – providing broad market reach.
- **Cost leadership**: Promises savings of up to 30% on workers’ comp through efficient operations and data analytics.

## Strategic Focus
- **Geographic expansion**: Continuing to add states to reach nationwide coverage.
- **Product line growth**: Scaling commercial auto and potentially adding other small-business insurance lines.
- **Technology & automation**: Increasing auto-adjudication rates and improving the digital experience for both agents and policyholders.

## Why Work Here
- **Culture**: Values-driven (Act with integrity, Demonstrate ownership, Be curious and growth oriented). Emphasizes transparent decision-making, iterative feedback, and “creating cumulative innovation.”
- **Work environment**: Fully remote-first – employees work from anywhere in the U.S. Intentional remote collaboration practices and strong benefits.
- **Benefits & perks**: Comprehensive healthcare (medical, dental, vision), generous parental leave, company equity, performance bonuses, family medical leave, job training, and talent development. Relocation assistance available.
- **Engineering culture**: Data-driven decision making, first principles thinking, and a focus on business outcomes. Tech stack supports high automation and rapid iteration.

## Sources
1. [Pie Insurance About Page](https://www.pieinsurance.com/about)
2. [Pie Insurance Careers Page](https://www.pieinsurance.com/culture/careers)
3. [Pie Insurance Culture Page](https://www.pieinsurance.com/culture)
4. [Pie Insurance on Built In](https://builtin.com/company/pie-insurance)

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