Remote Claims Quality & Compliance Analyst

Sedgwick; Madison (WI); Remote; USD 50,000 - 70,000; Full time

Job summary

Sedgwick is seeking a Performance Assurance Analyst to monitor claims activities, audit quality, and interpret trends for training and improvement. The role supports local, regional and national leadership, with travel as needed and a telecommuter setup across multiple states.

The ideal candidate has a bachelor’s degree (preferred), at least six years in claims (including auditing), and strong communication, analytical and teamwork skills.

Qualifications

• Six (6) years of claims experience or equivalent combination of education and experience required.
• One (1) year of claims auditing experience required.
• Strong knowledge of claims management practices and procedures.

Responsibilities

• Administers the quality program; conducts local office file audits using the Compass tool.
• Presents audit results to local, regional and national management as requested.
• Assists TPM in coordinating quality initiatives at local and SBU level.
• Recommends training and improvement activities to meet audit requirements.
• Participates in colleague coaching, mentoring and group training as needed.
• Travels as needed.
• Maintains technical claims and jurisdictional expertise.

Skills

Claims auditing

Quality program

Data analysis

Communication skills

Teamwork

PC literacy

Compass tool

Education

Bachelor's degree preferred

High school diploma or GED required

Tools

Compass tool

Job description

Sedgwick is seeking a Performance Assurance Analyst to monitor claims activities, audit quality, and interpret trends for training and improvement. The role supports local, regional and national leadership, with travel as needed and a telecommuter setup across multiple states.

The ideal candidate has a bachelor’s degree (preferred), at least six years in claims (including auditing), and strong communication, analytical and teamwork skills.