Quality Assurance Specialist - Claims & Compliance

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

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.