Primarily responsible for ensuring the quality of case management, medical records, pre-employment [PEME] and returning medical evaluation [REME] compliance and other departmental policies and procedures, including across associated departments.Oversees the quality of the claims management process to ensure compliance with policies and procedures.Identify trends in procedural errors and make recommendations to ensure continuous improvement in processes and policy.Investigates and reports allegations of fraud within the PEME/REME process. Evaluates Pre-Employment Medical Exams (PEMEs) and Returning Employment Medical Exams (REMEs) to ensure conformance with policy and peocedure. Collaborates with the Medical Department, and Legal department (Crew and Guest) to review the quality of injury reports, including occupational related illnesses and repetitive motion injuries, to ensure accurate classification and appropriate management of claim Analyzes data for errors, recommends improvements, develops best practices and documents findings in reports.