Remote Claims Quality Assurance Analyst

Sedgwick; Cincinnati (OH); Remote; USD 65,000 - 88,000; Full time

Job summary

Sedgwick is seeking a Performance Assurance Analyst to perform extensive quality reviews of personal and commercial line claims, ensuring adherence to client guidelines and company standards. You’ll review files up to $300,000 using Xactimate and Symbility, identify non-compliance trends, and coordinate with teams on improvements in a remote setting across multiple states.

The position emphasizes training, audit best practices, and detailed written reporting, supporting Sedgwick’s quality

Qualifications

• Five years of related experience, including three years in claims handling
• Three years at an advanced technical level as a file reviewer of personal and commercial claims
• Experience with personal and commercial lines claims and quality/audit processes
• Ability to learn virtual meeting and collaboration tools

Responsibilities

• Executes the quality assurance program by completing quality reviews of Personal and Commercial Lines claim files using Xactimate and Symbility with varying degree of severity (up to approximately $300,000)
• Interprets policy and client guidelines on personal and commercial lines claims to ensure compliance
• Guides field colleagues on revisions as required to ensure compliance with client guidelines and company standards
• Completes revisions as required via Xactimate and/or Symbility as appropriate
• Documents review findings in accordance with team processes
• Identifies and provides training and improvement opportunities to the Team Lead to meet established operational and technical audit requirements
• Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and national quality initiatives
• Provides feedback to the Team Lead to contribute to the performance management review meetings and group training
• Maintains technical claims handling and estimating and jurisdictional expertise

Skills

Quality assurance

Claims handling

Xactimate

Symbility

Communication skills

Microsoft Office

Analytical skills

Organizational skills

Remote work

Team player

Education

Bachelor's degree

Tools

Xactimate

Symbility

Microsoft Office

Job description

Sedgwick is seeking a Performance Assurance Analyst to perform extensive quality reviews of personal and commercial line claims, ensuring adherence to client guidelines and company standards. You’ll review files up to $300,000 using Xactimate and Symbility, identify non-compliance trends, and coordinate with teams on improvements in a remote setting across multiple states.

The position emphasizes training, audit best practices, and detailed written reporting, supporting Sedgwick’s quality