1081 claims quality analyst jobs found

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description Auto-Owners Insurance, a top-rated insurance carrier, is seeking motivated individuals to join our team for summer internships as a Business and/or Quality Analyst. The positions require, but are not limited to, the following: Act as liaison between the business and technology teams Organize and lead meetings with business, technology, and quality assurance teams Work closely with the business subject matter experts in the definition, training, implementation, and support of business requirements Define requirements through interviews, workshops, surveys, and existing system documentation or procedures Develop business requirements and related business rules based on business decision(s) Work with software tools to gather and document requirements and rules Perform...

Essential Job Functions Key Function: Audits Conducts daily, monthly, quarterly, and targeted quality audits and determines quality scores. Reviews and monitors employees’ work to assess technical accuracy, customer service performance, and departmental conformity Key Function: Quarterly meetings with Claims Department and Claims management Prepares and conducts quarterly meetings to review QA scores and company and state mandated expectations. Partners with the Senior QA Analysts and supervisors to identify QA trends Key Function: Quality assurance Collaborates with QA Department to maintain quality standards; ensures proper evaluation Key Function: Enhancements to Training Materials Identifies and recommends training enhancements Assesses and recommends changes to the quality review guideline Detects opportunities in the operations process and proposes recommendations to improve efficiencies Assists in the training of quality assurance auditors;...

Essential Job Functions Key Function: Audits Conducts daily, monthly, quarterly, and targeted quality audits and determines quality scores. Reviews and monitors employees’ work to assess technical accuracy, customer service performance, and departmental conformity Key Function: Quarterly meetings with Claims Department and Claims management Prepares and conducts quarterly meetings to review QA scores and company and state mandated expectations. Partners with the Senior QA Analysts and supervisors to identify QA trends Key Function: Quality assurance Collaborates with QA Department to maintain quality standards; ensures proper evaluation Key Function: Enhancements to Training Materials Identifies and recommends training enhancements Assesses and recommends changes to the quality review guideline Detects opportunities in the operations process and proposes recommendations to improve efficiencies Assists in the training of quality assurance auditors;...

- This position is a part of our Core Specialty Leaders in Training, full-time early careers, leadership development program. Please see below the Actuarial Analyst posting for more information about this exciting program. ACTUARIAL ANALYST As an Actuarial Analyst grad trainee in our Core Leaders in Training program, you will be based in either downtown Chicago, Illinois or at our corporate headquarters in Cincinnati, Ohio. Our Actuarial trainees will have two 18-month rotations during the program, one rotation will be in Pricing and the other will be in Reserving. KEY ACCOUNTABILIITES AND DELIVERABLES: Perform under supervision Quarterly Reserve Reviews (and ad-hoc analysis as needed) for assigned product groups to ensure that adequate reserves are recorded and correctly reported at each quarter-end.   Help ensure all regulatory requirements related to loss reserves are met in a timely fashion.   Collaborate with Pricing, Claims,...

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people . At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world.  Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description We are seeking an Senior Insurance Operations Analyst for our Insurance Operations...

Job Responsibilities and Requirements Responsible for processing appeals of adverse benefit determinations in all lines of business, which includes Long Term Disability (LTD), Short Term Disability (STD), Life/Waiver of Premium/Group Life products/Accelerated Death/Accidental Death/Critical Illness (and all related coverages) or other claims.  Duties and Responsibilities : Reviews, evaluates, and investigates (if necessary) in a timely manner consistent with applicable regulations and company guidelines adverse benefit determinations which have been properly appealed and determine whether the adverse benefit determination was appropriate. Ensures the accuracy and timeliness of systems coding for the status of appealed adverse benefit determinations used in management reporting. Supports the achievement of established departmental goals and objectives related to claim performance including service, quality and production Serves as a resource for all Claims...

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.           Do you enjoy helping people? Then you belong here. We currently have an excellent claims professional career opportunity available. Join our Short Disability team. The Short Term Disability Analyst, quickly investigates claims to determine if the insured person qualifies for short-term benefits and works with them on a treatment plan to return to work as soon as responsibly possible. The Short Term Disability Analyst supports our mission of helping our customers rebuild their lives after an unexpected event or illness happens while following corporate claim standards, policies and procedures, and statutory, regulatory...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  CNA seeks to offer a comprehensive and competitive benefits package to our employees that helps them — and their family members — achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, check out our Candidate Guide . Consider this role as a Data Management Analyst on the Statistical Reporting Team. This team is responsible for the accurate and complete reporting of statistical data for policy, premium, claim, loss and financial regulatory reporting mandates across all lines of business for CNA Insurance. Insurance companies are required to report data about their operations in order for the regulatory body to assess...

Claims Analyst FL - CV08CE 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.              As a Hartford Global Specialty - Financial Lines Claims Analyst in our Financial Service Claims unit, you will be responsible for handling an inventory of claims-made, large company, middle market and small commercial accounts with policies in the Directors and Officers Liability/Financial Institutions/Financial Services space, many from inception to final disposition.  This role will also provide support to a Claims Technical Officer and other team members requiring assistance and/or information in the management of claims of higher complexity and/or exposure. Responsibilities include all aspects of claim file management from assignment to conclusion...

Who we are American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Get to know the Business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. AIG offers a broad range of products to customers through a diversified, multichannel distribution network. About AIG Warranty...

Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world. Cornelius Vander Starr established his first insurance company in Shanghai, China in 1919. Today, we are one of the world’s fastest growing insurance organizations, capable of writing in 128 countries on 6 continents. T he successful candidate will function within the Starr Reinsurance Operations team.  This exciting and grown function need someone with a can-do attitude and desire to help build our business and processes within a team environment.  The primary objective of the Multinational Facultative Reinsurance Operations Analyst (Analyst) is to serve as the subject matter expert (SME) of the end-to-end multinational facultative reinsurance booking workflow.  T he Analyst is the timely and accurate booking of...

Receives inbound customer service calls regarding billing and other questions or issues. Processes basic to complex premium accounting activities for active and inactive accounts. Reviews and processes cash related work items to ensure payments are posted timely and accurately through a variety of established procedures in multiple systems. Job Description We have a current opening for a Premium Services Technician.  In this position you will process basic to complex premium accounting activities for active and inactive accounts. Responsibilities include reviewing and processing cash related work items to assure payments are posted timely and accurately through a variety of established procedures in multiple systems. What You’ll Do             Uses multiple business systems for accounts receivable duties including reconciliation of account discrepancies, transferring of funds, exchanges of funds, research, and processes unidentified cash. Thorough review of...

Location(s) McAllen, Texas Details Quality Assurance Analyst McAllen, TX Summer Semester, 2024 Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises. Kemper proudly serves growing niche and underserved markets by providing appropriate and affordable insurance and financial solutions. This is enabled by a team of dynamic, innovative employees who act like owners and are continually driven by  intellectual...

If you're passionate about helping a Fortune 100 company drive their strategy forward through innovative product development and advancing strategic partnerships to protect customers (and their pets), then Nationwide's Strategy and Corporate Development Office might be the place for you! Your career with Nationwide begins on Monday, January 8, 2024 with a training program that will go through February 16, 2024. During training, you will be working Monday-Friday 6:30am-2:45pm PST. After training, you will work with your supervisor to select a shift that works for you; hours would be anytime during the range of 5am-7pm (in your time zone) Monday-Friday, with weekend opportunities available. The ideal candidate will have the ability to: Review and process pet medical claims using veterinary knowledge. Deliver quality service and timely results to policyholders. Communicate and collaborate effectively with internal and external stakeholders. Analyze and resolve...

Job Responsibilities and Requirements Responsible for processing appeals of adverse benefit determinations in all lines of business, which includes Long Term Disability (LTD), Short Term Disability (STD), Life/Waiver of Premium/Group Life products/Accelerated Death/Accidental Death/Critical Illness (and all related coverages) or other claims.  Duties and Responsibilities : Reviews, evaluates, and investigates (if necessary) in a timely manner consistent with applicable regulations and company guidelines adverse benefit determinations which have been properly appealed and determine whether the adverse benefit determination was appropriate. Ensures the accuracy and timeliness of systems coding for the status of appealed adverse benefit determinations used in management reporting. Supports the achievement of established departmental goals and objectives related to claim performance including service, quality and production Serves as a resource for all Claims...

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.    Our flexible workplace is continuously evolving to ensure all employees feel:   Comfortable bringing their whole selves to work.   Confident that they will be treated respectfully.   Recognized for their performance and provided with equal opportunities to succeed.   At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us.   The Treasury Analyst reports to the Director of Treasury and the position is located in San Antonio, Texas. Corporate Cash, Liquidity, and Bank Management Daily cash positioning, reporting, and forecasting Utilize treasury management workstation (Kyriba) to process payments, maintain 3rd party bank information,...

As one of the largest mutual insurance companies in the US, we at Sentry are committed to a variety of business and consumer needs. To offer our customers competitive products and outstanding service it takes a strong and effective team. As an Associate Product Analyst, you will be a key part of our Dairyland team in our Madison, WI office. This is a great opportunity to start or grow your career, while facing new challenges to develop professionally. Bring your strong multi-tasking skills and a “can do” attitude to this opportunity. This is a hybrid position, located in our Madison, WI office. This position can be filled as an Associate Product Analyst or as a Product Analyst, based on the selected candidate’s related skills and experience. What You’ll Do As an Associate Product Analyst, you’ll support our business through the following areas: Implement rate revisions with our State Managers to reach profit and growth targets. Implement point-of-sale and...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.  A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace®  Forbes Best-in-State Employer...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.  A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace®  Forbes Best-in-State Employer...

Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world. Cornelius Vander Starr established his first insurance company in Shanghai, China in 1919. Today, we are one of the world’s fastest growing insurance organizations, capable of writing in 128 countries on 6 continents. T he successful candidate will function within the Starr Reinsurance Operations team.  This exciting and grown function need someone with a can-do attitude and desire to help build our business and processes within a team environment.  The primary objective of the Multinational Facultative Reinsurance Operations Analyst (Analyst) is to serve as the subject matter expert (SME) of the end-to-end multinational facultative reinsurance booking workflow.  T he Analyst is the timely and accurate booking of...