Quality Analyst - Claims Review

About the role

Join a purpose-driven organization committed to enhancing financial opportunities for individuals and communities. This role involves evaluating the quality, accuracy, and compliance of leave and short-term disability claim administration.

Responsibilities

• Conducting comprehensive audits of claim files
• Reviewing documentation and system entries
• Providing actionable feedback to improve customer experience and regulatory adherence
• Collaborating with QA teams, operational leadership, and system testing efforts to identify trends, root causes, and operational risks
• Supporting process improvements
• Ensuring quality standards
• Managing claims-related work as needed

Requirements

• High school diploma or GED
• At least 2+ years of experience in disability and absence claims management, quality assurance, or compliance
• Strong knowledge of leave and disability products, claim adjudication processes, and regulations such as FMLA, ADA, and STD
• Excellent analytical, communication, and multitasking skills

Qualifications

• Bachelor’s degree (preferred)
• Experience with audit processes (preferred)
• Familiarity with claim management systems like FINEOS (preferred)

Skills

• Customer focus
• Critical thinking
• Teamwork
• Business acumen
• Learning agility

Benefits

The role offers competitive compensation, comprehensive benefits, and a supportive work environment dedicated to inclusion and employee well-being.