Commercial Claims Quality & Performance Analyst III

AAA

Commercial Claims Quality & Performance Analyst auditing and evaluating internal claims operations. Supporting partnerships with various teams to ensure operational compliance and performance improvement.

Posted 6/4/2026full-timeRemote • Alabama, Arizona, California, Colorado, Connecticut, District of Columbia, Florida, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Oklahoma • 🇺🇸 United StatesMid-LevelSenior💰 $74,295 - $82,050 per yearWebsite

About the role

Key responsibilities & impact

Advanced-level role responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance
Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs
Identify operational, compliance, and claim quality risks and provide recommendations for improvement
Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards

Requirements

What you’ll need

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

Benefits

Comp & perks

total compensation package
annual bonus eligibility for most roles
401(k) with a company match
flexible workplace options

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

auditingclaims handlingregulatory complianceKPI analysisrisk identificationaudit methodologiesscorecards developmentreporting toolsoperational dashboards

Soft Skills

analytical skillsproblem-solvingcommunicationrecommendation development

Certifications

Adjuster license