Senior Claims Analyst

Sr. Claim Examiner is responsible for administering quality assurance and continuous improvement initiatives, ensuring accuracy in claims processing, payment validation, and data management.Key ResponsibilitiesConduct audits and quality reviews to ensure compliance with regulatory requirements and internal procedures.Oversee the department’s quality program, including process updates, documentation, and workflow optimization.Manage reporting, data analysis, and other operational tasks to improve visibility and performance across the team.Train Claims Analysts on call monitoring, audit techniques, and best practices.Identify trends, communicate insights, and provide coaching to team members to support ongoing quality development.