Remote Claims Quality & Audit Specialist

West Bend Insurance Company; West Bend (WI); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical & Prescription Insurance

Health Savings Account

Dental Insurance

Vision Insurance

Disability Insurance

401(k) Plan with Company Match

Paid Time Off

Bonus eligible

Job summary

West Bend Insurance Company in Wisconsin seeks a Senior Claims Quality Assurance professional to oversee casualty claim auditing, quality control, and adherence to best practices. You will review files, analyze results, and report findings to leadership.

You will mentor teammates, collaborate with Claims and Training teams, and drive continuous improvement through data-driven insights and actionable recommendations. Hybrid/remote options available.

Qualifications

• 7+ years of claims handling experience (auto, bodily injury, and general liability).
• 3+ years of claims auditing experience.

Responsibilities

• Review casualty claim files for quality, compliance, and adherence to best practices.
• Conduct claims performance reviews and analyze audit results for trends.
• Manage audit database and develop reporting to tell the story behind results.
• Share findings with Claims leadership in a clear, actionable way.
• Serve as a casualty claims resource for Claims and Training teams.
• Provide guidance and calibration to ensure audit process consistency.
• Build relationships with stakeholders across Claims and other areas.
• Lead targeted audits and special quality projects as needed.

Skills

Casualty claims knowledge

Auditing

Data analysis

Regulatory knowledge

Communication

Mentoring

Education

Bachelor's degree in Communications, Education, Business

Insurance designations (CPCU/AIC/AINS)

Tools

Audit database

Reporting tools

Job description

West Bend Insurance Company in Wisconsin seeks a Senior Claims Quality Assurance professional to oversee casualty claim auditing, quality control, and adherence to best practices. You will review files, analyze results, and report findings to leadership.

You will mentor teammates, collaborate with Claims and Training teams, and drive continuous improvement through data-driven insights and actionable recommendations. Hybrid/remote options available.