Sr. Claims Quality Analyst

Essential Responsibilities

• Conduct and document claim audits in the designated audit system within established timelines, completing a minimum of three claim file audits per day.
• Evaluate claim files for coverage, liability, estimates, reserving, documentation, and compliance with internal standards, regulatory requirements, and quality expectations.
• Review property estimates for accuracy, completeness, and adherence to guidelines, and identify potential leakage or missed cost controls.
• Analyze audit results and perform focused audits on specific trends as needed to identify gaps and opportunities for improvement.
• Provide clear and constructive feedback to claims staff and leadership.
• Escalate critical findings and provide immediate feedback to leadership when urgent action is needed on a claim.
• Participate in internal calibration activities within the Quality team to ensure scoring consistency.
• Partner with leadership to support training initiatives and process improvements.

Required Qualifications

• Minimum of four years of direct property claims handling experience, with emphasis on complex, high-severity commercial property losses.
• Two to four years of hands-on experience using Xactimat.
• Bachelor’s degree in a related field (preferred).
• Field claims experience with property inspections and estimate preparation (preferred).
• Experience handling liability claims (preferred).
• Familiarity with Guidewire and Athenium auditing platforms (preferred).

Paid Benefits

This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Pay

Salary range is $64872 - $90000.

Schedule

N/A