Quality Assurance Specialist - Auto

Sedgwick Claims Management Services Inc.; Texas; Hybrid; USD 60,000 - 85,000; Full time

Job summary

Sedgwick is seeking a Quality Assurance Specialist - Auto to ensure accuracy and compliance across internal, client, and vendor case files. You will identify trends, work with stakeholders to capture complete data in the CRM, and support quarterly audit reports.

The role emphasizes analytical thinking, strong communication, and teamwork within a structured QA environment. Related to auto claims, it offers growth opportunities and a collaborative culture.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Four (4) years of investigative experience or equivalent combination of education and experience required.
• Oral and written communication skills; analytical and interpretive skills.
• Strong organizational skills; ability to work independently or in a team.

Responsibilities

• Assesses performance of internal, client or vendor case files or records at regular intervals for accuracy, consistency and compliance with service level expectations and service agreements.
• Identifies trends and areas of opportunity for increased service efficiency and quality.
• Works in partnership with stakeholders to ensure all required and relevant data elements are accurately captured in the client relationship management system.
• Compiles audit results and submits to manager for review.
• Provides audit results for quarterly stewardship reports.
• Monitors ongoing action items logs and project plans with appropriate stakeholders.
• Updates vendor resources to mapping program.

Skills

Oral and written communication

PC literate

Analytical skills

Organizational skills

Teamwork

Education

Bachelor's degree

Tools

Microsoft Office

Job description

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 Quality Assurance Specialist - Auto

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Assesses performance of internal, client or vendor case files or records at regular intervals for accuracy, consistency and compliance with service level expectations and service agreements.
• Identifies trends and areas of opportunity for increased service efficiency and quality.
• Works in partnership with stakeholders to ensure all required and relevant data elements, including but not limited to client demographics, client contacts, 3rd party connections, contract records, and performance guarantees are accurately and consistently captured in the client relationship management system.
• Compiles audit results and submits to manager for review.
• Provides audit results for quarterly stewardship reports.
• Monitors ongoing action items logs and project plans with appropriate stakeholders.
• Updates vendor resources to mapping program

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization’s quality program(s).

QUALIFICATIONS

• Education & Licensing Bachelor's degree from an accredited college or university preferred.
• Experience Four (4) years of investigative experience or equivalent combination of education and experience required.
• Skills & Knowledge Oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work independently or in a team environment Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com