Commercial Claims Quality & Performance Analyst III - Remote
About The Position
Mobilitas, a commercial insurance company created by CSAA Insurance Group, is seeking a Commercial Claims Quality & Performance Analyst III. This is an advanced-level role responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance. The role serves as a subject matter expert in claims quality, operational compliance, audit methodologies, and quality management processes. The analyst will partner 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. Key responsibilities include leading calibration efforts, supporting onboarding and implementation activities for new TPAs, and providing mentorship and guidance to Q&P analysts. The role utilizes advanced analytical capabilities and reporting tools to drive process improvement opportunities and operational performance strategies.
Requirements
- 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.
Nice To Haves
- 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.
Responsibilities
- 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.
Benefits
- Total compensation package
- Annual bonus eligibility for most roles
- 401(k) with a company match
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
