Remote Claims Quality & Performance Auditor

Sedgwick; Dallas (TX); Remote; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with matching

PTO

Disability insurance

Life insurance

Employee assistance program

Health savings account

Job summary

Sedgwick is seeking a Performance Assurance Analyst to monitor colleague technical activities within claims and audit trends, and to coordinate quality initiatives across local and national levels. The role emphasizes compliance auditing and training recommendations.

Ideal candidates will have extensive claims experience, auditing expertise, and strong communication and analytical skills to support Sedgwick's quality program and TPM reviews.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Six (6) years of claims experience or equivalent combination of education and experience.
• One (1) year of claims auditing experience or equivalent combination of education and experience.

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 Total Performance Manager in coordinating and implementing Sedgwick business unit and national quality initiatives at the local and/or SBU level.
• Recommends training and improvement activities needed to meet established operational and technical audit requirements.
• Participates in colleague coaching, mentoring and group training as needed.
• Participates in quarterly national total performance management review meetings with national TPM and Quality leaders.
• Maintains technical claims and jurisdictional expertise.

Skills

Quality auditing

Claims management

Analytical skills

Oral and written communication

Teamwork

Education

Bachelor's degree

High school diploma or GED

Job description

Sedgwick is seeking a Performance Assurance Analyst to monitor colleague technical activities within claims and audit trends, and to coordinate quality initiatives across local and national levels. The role emphasizes compliance auditing and training recommendations.

Ideal candidates will have extensive claims experience, auditing expertise, and strong communication and analytical skills to support Sedgwick's quality program and TPM reviews.