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Commercial Claims Quality & Performance Analyst III - Remote

External
aaaie logoAaaie · Oklahoma - Home Teleworkers
Full-timeRemote2w ago
AuditingComplianceDocumentationLeadershipMoveProcess Improvement
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External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more} Job Information We're Mobilitas, a commercial insurance company created by CSAA Insurance Group. Our mission is to reinvent commercial insurance in the mobility space to offer our partners innovative solutions for today's way of doing business. At Mobilitas, we believe in what's possible and we use our inventive skills to meet the demands of modern mobility with exceptional service. We're looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We're excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance. We are actively hiring for a Commercial Claims Quality & Performance Analyst III - Remote Your Role: Advanced-level role within the Commercial Claims Quality & Performance (Q&P) organization responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance. Serves as a subject matter expert in claims quality, operational compliance, audit methodologies, and quality management processes. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance. Leads calibration efforts, supports onboarding and implementation activities for new TPAs, and provides mentorship and guidance to Q&P analysts. Utilizes advanced analytical capabilities and reporting tools to drive process improvement opportunities and operational performance strategies. Your Work: Conduct advanced audits and evaluations of internal and external Commercial claims operations. Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs. Identify operational, compliance, and claim quality risks and provide recommendations for improvement. Lead and facilitate calibration sessions with Q&P teams, Claims leadership, and business partners. Support onboarding, implementation, and oversight activities for new TPA relationships. Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards. Analyze quality trends and provide actionable operational insights to leadership. Mentor and support analysts through coaching, training, and knowledge-sharing activities. Support special projects, operational initiatives, and continuous improvement efforts. Partner with internal stakeholders to improve operational processes, communication strategies, and quality standards. Assist with development and maintenance of quality documentation, procedures, and knowledge management resources. Participate in UAT activities, reporting enhancements, and operational change initiatives. Required Experience, Education and Skills: High School diploma or equivalent certification or 3-year customer service experience in a virtual environment leveraging internet, phone, and chat features industry. 6 years in an insurance and/or Quality Management environment or equivalent business experience. Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment. What would make us excited about you: Bachelor's Degree in related subject (Business) or equivalent combination of education and experience. Strong knowledge of Commercial products, services, policies, and procedures. Certificates or Designation through the American Institute of Chartered Property Casualty Underwriters (e.g., Associate in Insurance Servicing, INS 21-23) or working towards achievement. Pl


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