Remote Senior Carrier Claims Oversight Analyst

Independence Pet Group; United States; Remote; USD 74,000 - 93,000; Full time

Benefits offered by this job

Healthcare

Parental Leave

Disability Insurance

PTO

Wellness Day

Job summary

Independence American Insurance Company (IAIC) seeks a Senior Carrier Operations Claims Analyst to provide oversight of delegated claims and serve as a subject matter expert on complex claims and coverage interpretation. The role partners with TPAs and internal stakeholders to ensure compliant outcomes.

The position focuses on governance, audits, and process improvements across delegated claims operations, with remote work options within the United States.

Qualifications

• 5+ years of insurance claims, claims operations, compliance, quality, or related experience.
• Strong knowledge of claims handling, coverage interpretation, and regulatory requirements.
• Excellent analytical, problem-solving, communication, and stakeholder management skills.

Responsibilities

• Oversee delegated claims operations and provide governance for complex claims.
• Evaluate coverage determinations, appeals, and escalated claim matters.
• Monitor administrator compliance with carrier requirements and regulatory guidelines.
• Support audits, fraud investigations, and risk mitigation initiatives.

Skills

Analytical thinking

Problem solving

Communication

Stakeholder management

Education

Bachelor's degree in Business, Insurance, Risk Management, or related field

Job description

Independence American Insurance Company (IAIC) seeks a Senior Carrier Operations Claims Analyst to provide oversight of delegated claims and serve as a subject matter expert on complex claims and coverage interpretation. The role partners with TPAs and internal stakeholders to ensure compliant outcomes.

The position focuses on governance, audits, and process improvements across delegated claims operations, with remote work options within the United States.