Claims Quality Assurance Analyst jobs in United States
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Hiscox · 1 day ago

Claims Quality Assurance Analyst

Hiscox is a growing company focused on providing innovative insurance solutions. The Claims Quality Assurance Analyst plays a crucial role in ensuring high standards in claims processing through regular quality reviews, feedback, and continuous improvement initiatives.

ConsultingFinancial ServicesInsurance
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H1B Sponsor Likelynote

Responsibilities

Plan and perform internal and TPA claim quality assurance reviews measured against Hiscox Claims Best Practices and regulatory framework and standards
Produce qualitative MI and analytical reports which succinctly identify claim findings and trends, as well as prioritize any issues identified
Analyze data and effectively communicate audit findings and reports to key stakeholders
Review claim outcomes/resolutions in the context of the Hiscox Claim Best Practices or TPA Claim Handling Guidelines, and work with the Claims Quality Assurance Manager to provide constructive and objective feedback, including recommendations for improvements, training and any remedial actions to be taken
Oversee and administer the ongoing month to month Claim Review process to ensure all eligible file handlers are reviewed on a continuous basis
Plan and prioritize daily, weekly, monthly workload to ensure output targets are achieved
Ensure all activity is clearly and concisely documented and recorded in the correct systems
Collaborate with the QA team and business units on continuous improvement and training initiatives
Be a point of contact for QA queries and support by providing practical advice and guidance

Qualification

Claims auditing experienceMulti-line claims handlingClaims regulatory knowledgeStakeholder managementOrganizational skillsCustomer serviceMarket trends awarenessCommunicationTime management

Required

3+ years previous claims auditing experience and/or background
5-8 years of multi-line claims handling experience (preferably GL, Professional Liability, and/or Property/Inland Marine lines of business)
Excellent written and verbal communication skills
Demonstrated organizational and time management skills
A sound understanding of claims regulatory expectations and operational risk
Ability to process information and change focus quickly in line with the ad-hoc nature of anticipatory risk assignments
Awareness of market trends, insurance compliance, risk and regulatory issues

Preferred

Subject matter expertise
Experience within legal or regulatory compliance
Experience with state DOI standards
Track record of exceptional customer service
Track record of stakeholder management skills

Benefits

401(k) with competitive company matching
Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
Company paid group term life, short- term disability and long-term disability coverage
24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days
Paid parental leave
4-week paid sabbatical after every 5 years of service
Financial Adoption Assistance and Medical Travel Reimbursement Programs
Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
Company paid subscription to Headspace to support employees’ mental health and wellbeing
2024 Gold level recipient of Cigna’s Healthy Workforce Designation for having a best-in-class health and wellness program
Dynamic, creative and values-driven culture
Modern and open office spaces, complimentary drinks
Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation

Company

Hiscox is an insurer, offering property and casualty insurance aimed at companies and high-net-worth individuals.

H1B Sponsorship

Hiscox has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (3)
2023 (7)
2022 (1)
2021 (7)
2020 (4)

Funding

Current Stage
Public Company
Total Funding
unknown
2006-12-12IPO

Leadership Team

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Chris Loake
Group Chief Information Officer
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Company data provided by crunchbase