Remote Quality & Claims Audit Analyst

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

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) matching

PTO

Disability insurance

Life insurance

Employee assistance

Job summary

Sedgwick seeks a Performance Assurance Analyst to monitor claims activities and audit quality across multiple jurisdictions. The role focuses on identifying trends, sharing findings with leadership, and driving training to improve compliance and performance.

The ideal candidate will bring extensive claims auditing experience, strong analytical skills, and the ability to work collaboratively in a dynamic, remote environment.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• High school diploma or GED required.
• Six (6) years of claims experience or equivalent combination of education and experience required, including one (1) year of claims auditing 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 (SBU) 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 (TPM) review meetings with national TPM and Quality leaders.
• Maintains technical claims and jurisdictional expertise.

Job description

Sedgwick seeks a Performance Assurance Analyst to monitor claims activities and audit quality across multiple jurisdictions. The role focuses on identifying trends, sharing findings with leadership, and driving training to improve compliance and performance.

The ideal candidate will bring extensive claims auditing experience, strong analytical skills, and the ability to work collaboratively in a dynamic, remote environment.