Senior Claims Analyst
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Job Location:
Marshall County, WV - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Sr. Claim Examiner is responsible for administering quality assurance and continuous improvement initiatives ensuring accuracy in claims processing payment validation and data management.
Key Responsibilities
- Conduct audits and quality reviews to ensure compliance with regulatory requirements and internal procedures.
- Oversee the departments quality program including process updates documentation and workflow optimization.
- Manage reporting data analysis and other operational tasks to improve visibility and performance across the team.
- Train Claims Analysts on call monitoring audit techniques and best practices.
- Identify trends communicate insights and provide coaching to team members to support ongoing quality development.
Qualifications :
- Bachelors Degree or equivalent work experience.
- Minimum 5 years of experience in Life/Health claims underwriting or a closely related insurance field.
- Strong knowledge of insurance regulations claims practices privacy requirements and investigation tools.
- Excellent written and verbal communication skills with proven ability to coach and influence others.
- Highly organized with strong project management skills and the ability to manage multiple priorities in a fast-paced environment.
- Proficiency with Microsoft Office; ability and willingness to learn data/reporting tools (e.g. Power BI Python).
Additional Information :
EEOC and Veteran Documentation
During employment employees are treated without regard to race color religion sex national origin age marital or veteran status medical condition or handicap or any other legally protected status.
At times government agencies require periodic reports from employers on the sex ethnicity handicap veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping reporting and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
Remote Work :
Yes
Employment Type :
Full-time
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About Company
Sutherland is seeking an organized and reliable person to join us as Admin Specialist. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you ... View more
