Senior Carrier Operations Claims Analyst

The Senior Carrier Operations Claims Analyst provides oversight of delegated claims operations and serves as a subject matter expert for complex claims, coverage interpretation, and escalated matters. This fully remote role partners with internal stakeholders and third-party administrators to ensure claims are handled consistently, compliantly, and in accordance with carrier guidelines. The position involves reviewing high-dollar claims, supporting audits and regulatory inquiries, and driving operational excellence through data analysis and process improvements.