Senior Claims Quality Analyst

Job Summary

Supporting the operations of the Claims Department, the full-time Senior Claims Quality Analyst will conduct quality audits on various claim types, develop reporting for management, and provide training and coaching to claims staff, all in a remote work environment.

Key responsibilities

• Performs quality audits for all types of claims to ensure regulatory compliance and adherence to internal processes
• Develops and provides reports to management and delivers feedback and coaching to claims staff
• Reviews regulatory changes and updates procedure documents, communicating changes to staff and maintaining audit review criteria

Required qualifications

• Bachelor's Degree in a relevant field or equivalent work experience
• Minimum 5 years' experience in Life/Health Claims, Underwriting, or a related field
• Minimum 5 years' experience in a customer service field
• ALHC Designation
• FLHC Designation within 24 months of job acceptance