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Claims Quality Analyst

L5

virtual vocationsDenver, CO4 days ago

Occupations

Quality Control AnalystsClaims Adjusters, Examiners, and InvestigatorsQuality Control Systems Managers

Industries

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Insurance Related ActivitiesClaims Adjusting
Supporting the Claims Quality Assurance team, the full-time Claims Quality Analyst will review casualty claim files, conduct performance audits, and manage reporting to ensure compliance with best practices, working in a hybrid or remote capacity based on location.
Key responsibilities: Review casualty claim files to assess quality and adherence to policies and procedures Conduct claims performance reviews and analyze audit results to identify trends Manage the audit database and develop reporting to communicate findings to Claims leadership
Required qualifications: 7 years of claims handling experience, particularly in auto investigations and bodily injury claims 3 years of claims auditing experience Bachelor's degree in Communications, Education, Business, or a related field preferred Strong knowledge of regulatory requirements and insurance industry standards Experience with current technology, databases, and reporting tools
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Apply now (opens in a new tab)

Level

SeniorL5

Location

Denver, CO

Occupation

Quality Control Analysts

Industry

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Posted

4 days ago

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