898 claims quality assurance analyst jobs found

Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2500 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards for four years running, including the 2025-2026 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information...

Ability Analyst - C410AN Sr Ability Analyst - C409AN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           This role requires strong analytical expertise, strategic thinking, and communication skills to accurately adjudicate PFML claims. As Ability Analyst, you will play a critical role in supporting individuals during some of the most challenging times in their lives. You will be responsible for managing a caseload of PFML claims of moderate complexity, ensuring each claim is handled with empathy, accuracy, and efficiency. This role requires a balance of analytical thinking, customer service, and regulatory compliance. You will serve as the primary point of contact for claimants, employers, and medical professionals,...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we are bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way. The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and post-claims. Ascot...

Actuarial Analyst At AIG, we are reimagining the way we help customers to manage risk. Join us as an Actuarial Analyst to take on key responsibilities within a world-class actuarial function. Make your mark in Actuarial Our Actuaries are on the front lines, quantifying risk, pricing insurance and reserving losses for AIG’s major insurance operating companies, globally. We collaborate with Finance, Claims, Operations, Marketing and Risk Management, among other functions. As an AIG actuary, you will be challenged and encouraged to reach your greatest potential to help improve how we predict, manage and mitigate risk. How you will create an impact The North America Rater Delivery Team within Global Pricing – Actuarial develops commercial rating solutions for underwriting teams within AIG, while supporting strategic initiatives within the actuarial team. The North America Rater Delivery Team works alongside international counterparts, Product Actuaries, Underwriters,...

Primary Details Time Type: Full time Worker Type: Employee Claims Compliance Analyst (Workers Compensation) Location: USA –Madison, WI Work Arrangement: Hybrid   The salary range for this role is:  $69,500-$104,500 The Opportunity The Compliance Analyst ensures adherence to regulatory requirements impacting Workers’ Compensation and Professional Liability claims through ongoing monitoring, assessment, and implementation of required actions. The role maintains key regulatory resources, communicates changes to stakeholders, and partners with cross-functional teams to support compliant processes and documentation. Responsibilities include facilitating regulatory examinations and managing required reporting and data submissions. The position also conducts compliance-focused audits and oversees critical federal and state reporting obligations. Your new role Responsibilities: Assist in engaging with the business for the strategic...

This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Designed as a modern-era company operating through an ecosystem of interconnected global operating platforms, we’re bound by a common mission and purpose: One Ascot. Our greatest strength is a talented team who flourish in a collaborative, inclusive, and entrepreneurial culture, steeped in underwriting excellence, integrity, and a passion to find a better way, The Ascot Way. The Ascot Way guides our people and our organization. Our underwriting platforms collaborate to find creative ways to deploy our capital in a true cross-product and cross-platform approach. These platforms work as one, deploying our capital creatively through our unique Fusion Model: Client Centric, Risk Centric, Technology Centric. Built to be resilient, Ascot maximizes client financial security while delivering bespoke products and world class service — both pre- and post-claims....

The Procurement Analyst plays a critical role in supporting Enhanced Bill Review Programs by securing essential medical documentation, including itemizations and medical records needed to process claims accurately and efficiently. This position involves proactive outreach to providers, managing inbound inquiries, and ensuring all documentation meets quality and compliance standards, including HIPAA regulations. The Procurement Analyst is detail-oriented, organized, and thrives in a fast-paced environment where meeting production goals and collaborating with team members are key to success. This is an onsite position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Spend approximately 80-85% of the shift making outbound calls to providers to obtain required information; may also send email or fax requests Respond to inbound calls regarding claim status and related inquiries Maintain accurate records of all communications between the company, providers, and...

Join us as a Claims Analyst IV, Lex Pro to take on key responsibilities within a world-class claims function. Make your mark in Claims The Claims Analyst IV, Lex Pro position is responsible for handling a caseload of pending and incoming employment practices liability and management liability claims. The analyst will determine coverage, evaluate liability, assess damages, establish appropriate reserves and handle all aspects of claims tendered on architects & engineers professional liability policies. The analyst will communicate extensively with insureds, brokers, and counsel to resolve matters and provide appropriate information and updates to all stakeholders. The analyst will also collaborate with underwriters and senior claims management as necessary to support the business. How you will create an impact Focused on Employment Practices Liability and Management Liability, you will be responsible for a portfolio of claims from coverage inquiry through legal...

The Repricing Quality Assurance Analyst is responsible for reviewing, analyzing, and monitoring repricing audit data across multiple platforms to ensure accuracy, compliance, and efficiency. Works closely with internal teams to maintain contractual and organizational standards, enhance operational effectiveness, and improve client satisfaction. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify and resolve quality issues within repricing processes Develop and implement QA policies and procedures Monitor compliance with pricing guidelines and contractual requirements Investigate repricing discrepancies and apply corrective actions Prepare QA reports and documentation Collaborate with stakeholders to align quality objectives Provide training and guidance on repricing standards Conduct risk assessments to mitigate potential errors Maintain confidentiality of client data, PHI, and PII Additional duties as assigned...

The Functional Analyst, Senior is responsible for gathering, analyzing, and documenting business or system processes and requirements for NJM’s applications. This role will work closely with all Project, Business team members and Solution Owners throughout the project lifecycle. This role may be required to lead other team members and coordinate work efforts, assist in problem and solution scoping, effectively communicate requirements, and may get involved in quality assurance. Essential Duties and Responsibilities: Strategy Analysis:  Consistently support the alignment of business strategy with system implementations by assisting in the support of the FA team. Business Analysis/Elicitation Skills :  Consistently ensure that the business need is understood and articulated clearly by performing, and assist in supporting the FA team members. Requirements Life Cycle Management:  Consistently achieving deliveries that reflect business outcomes by collaborating with the...

At Genworth, we empower families to navigate the aging journey with confidence. We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet families where they are. Further, we are the spouses, children, siblings, friends, and neighbors of those that need care—and we bring those experiences with us to work in serving our millions of policyholders each day.  We apply that same compassion and empathy as we work with each other and our local communities. Genworth values all perspectives, characteristics, and experiences so that employees can bring their full, authentic selves to work to help each other and our company succeed. We celebrate our diversity and understand that being intentional about inclusion is the only way to create a sense of belonging for all associates. We also invest in the vitality of our local communities through grants from the Genworth Foundation, event sponsorships, and employee volunteerism....

Company Shared Services Argo and Farm Family are specialty property and casualty insurance brands whose underwriting companies are wholly-owned subsidaries of Clearbrook Holdings Inc. Argo and Farm Family partner with agents and brokers to provide insurance solutions that enable businesses to manage risks with confidence. Job Description Argo Group, through its operating subsidiaries, offers high-quality commercial Property and Casualty (P&C) insurance products and services tailored to the needs of businesses and public entities. At Argo Group, we leverage the success, discipline and expertise of our people and an understanding of our customers’ needs to provide a diverse portfolio of products and services. This approach helps those we insure drive down their ultimate cost through prevention and aggressive claims handling. Simply stated, our products and services help keep businesses in business. Argo Group US currently has a challenging opportunity for a  Senior...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance IT Software Development Advisor Sr PRIMARY PURPOSE OF THE ROLE: To lead a team in the design, development, maintenance, testing and debugging of software; to formulate/define system scope and objectives for assigned projects; to devise or modify procedures to solve complex problems; to prepare detailed specifications from which programs will be written; to be responsible for quality assurance reviews; may be responsible for project completion and user satisfaction; and...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Business Intelligence Support Analyst– The Auto Club Group What you will do: Support management and senior staff in the research, analysis and development of Business Intelligence (BI) solutions.  Identify areas for data quality improvement and provide support in the resolution of data quality problems.  Provide training and support to end users regarding BI solutions and the IBI data warehouse.  Assist management and senior staff with the development of proposals and business cases.  Develop end user documentation and communication plans.  Analyze and assess the impact of changes to Actuarial, Underwriting, Sales, Processing and Claims procedures/systems including rate revision changes on data and reporting requirements.  Assist in the development of data management...

Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It’s our promise to you.  Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following...

Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds.   The responsibilities for this role include making coverage determinations, investigating losses, evaluating, and projecting potential exposures, setting judgmental reserves, developing and implementing resolution strategies, managing outside law firms, working with underwriting on policy renewals and promoting client relationships. How you will create an impact You will be responsible for a portfolio of claims from coverage inquiry through legal liability assessment and quantum analysis, to timely and accurate resolution. Your goal will be timely, accurate and customer-focused claim resolution, minimizing indemnity...

Join us as a Claims Analyst IV, A&E to take on key responsibilities within a world-class claims function. Make your mark in Claims The Claims Analyst IV, A&E position is responsible for handling a caseload of pending and incoming architects & engineers professional liability claims. The analyst will determine coverage, evaluate liability, assess damages, establish appropriate reserves and handle all aspects of claims tendered on architects & engineers professional liability policies. The analyst will communicate extensively with insureds, brokers, and counsel to resolve matters and provide appropriate information and updates to all stakeholders. The analyst will also collaborate with underwriters and senior claims management as necessary to support the business. How you will create an impact Focused on Architects and Engineers, Lawyers, Accountants, and Real Estate, you will be responsible for a portfolio of claims from coverage inquiry through legal...

The salary range for this job posting is $69,152.00 - $110,642.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. Encova Insurance is seeking a Property Claims Analyst. This role will have the option to work a home-based schedule, but you must reside in Ohio. Are you a Referral? If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our...

At WorldTrips, a proud member of the Tokio Marine HCC group of companies, we believe in more than just business—we believe in empowering our people. As a global leader in specialty travel medical and trip protection insurance, we are passionate about preparing travelers for the unpredictable while fostering a work environment where bold ideas and transformative solutions are valued at every level. Our mission, "To Be a Good Company," reflects our commitment to people and community, recognizing the importance of giving back and driving positive change. We are proud to be named as a Top Workplace Winner for the past three years by IndyStar! Our renovated office, located in Carmel, IN, is only steps away from the Carmel City Center for shopping, dining, and entertainment. This is a hybrid position (3 days in office). Tokio Marine HCC offers a competitive salary and a generous employee benefit package that includes among other benefits, subsidized medical, prescription,...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Performance Assurance Analyst PRIMARY PURPOSE :  Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest quality of work product is delivered to our clients; confirm our adjuster’s claim files comply with specific client handling guidelines and company standards; and identifies trends in non-compliance to recommend training opportunities that exist.  ESSENTIAL...