Claims Quality Assurance Analyst - TPA

The Claims Quality Assurance Analyst - TPA supports operational excellence, claims accuracy, and regulatory compliance by conducting quality audits, reviews, and monitoring of claims and operational data. The role identifies trends, inefficiencies, and opportunities for improvement while ensuring adherence to quality standards, regulatory requirements, and operational procedures. The Analyst collaborates with cross-functional partners to resolve complex claims issues and supports internal audit activities related to Model Audit Requirements and Service Level Agreements.