Senior Carrier Claims Governance Analyst (Remote)

Pets Best Insurance Services LLC; United States; Remote; USD 74.000 - 93.000; Vollzeit

Benefits dieser Stelle

Healthcare benefits

Parental leave

Retirement plan

Paid time off

Zusammenfassung

Independence American Insurance Company (IAIC) is hiring a Senior Carrier Operations Claims Analyst to provide expert oversight of delegated claims operations and handle complex coverage questions. This fully remote role supports carriers, TPAs, and administrators across the United States.

The position emphasizes governance, regulatory compliance, and continuous improvement of claims processes, with collaboration across stakeholders to ensure accurate, consistent outcomes.

Qualifikationen

• 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.

Aufgaben

• Oversee high-dollar, complex, and escalated claims decisions and provide guidance on coverage interpretations.
• Monitor and support audits, regulatory inquiries, and corrective action initiatives.
• Analyze claims data and workflows to identify risks and opportunities for improvement across partners.
• Develop and maintain claims governance standards and operation procedures.
• Educate and support team members and business partners on claims oversight matters.

Kenntnisse

Insurance claims

Regulatory compliance

Analytics

Stakeholder management

Ausbildung

Bachelor’s degree

Jobbeschreibung

Independence American Insurance Company (IAIC) is hiring a Senior Carrier Operations Claims Analyst to provide expert oversight of delegated claims operations and handle complex coverage questions. This fully remote role supports carriers, TPAs, and administrators across the United States.

The position emphasizes governance, regulatory compliance, and continuous improvement of claims processes, with collaboration across stakeholders to ensure accurate, consistent outcomes.