Full-Time Senior Claims Analyst

• Conduct audits and quality reviews to ensure compliance with regulatory requirements and internal procedures.
• Oversee the department’s quality program, including process updates, documentation, and workflow optimization.
• Manage reporting, data analysis, and other operational tasks to improve visibility and performance across the team.
• Train Claims Analysts on call monitoring, audit techniques, and best practices.
• Identify trends, communicate insights, and provide coaching to team members to support ongoing quality development.

• Bachelor’s Degree or equivalent work experience.
• Minimum 5 years of experience in Life/Health claims, underwriting, or a closely related insurance field.
• Strong knowledge of insurance regulations, claims practices, privacy requirements, and investigation tools.
• Excellent written and verbal communication skills, with proven ability to coach and influence others.
• Highly organized with strong project management skills and the ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office; ability and willingness to learn data/reporting tools (e.g., Power BI, Python).

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