Senior Claims Analyst

Sutherland Global • Dallas, TX

27d

About The Position

Sr. Claim Examiner is responsible for administering quality assurance and continuous improvement initiatives, ensuring accuracy in claims processing, payment validation, and data management.

Requirements

• Bachelor's Degree or equivalent work experience.
• Minimum 5 years of experience in Life/Health claims, underwriting, or a closely related insurance field.
• Strong knowledge of insurance regulations, claims practices, privacy requirements, and investigation tools.
• Excellent written and verbal communication skills, with proven ability to coach and influence others.
• Highly organized with strong project management skills and the ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office; ability and willingness to learn data/reporting tools (e.g., Power BI, Python).

Responsibilities

• Conduct 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Administrative and Support Services
• Number of Employees: 5,001-10,000 employees