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Claims Quality Analyst Jobs (NOW HIRING)

Corporate Quality Analyst

Ashland City, TN · Hybrid

  • Medical

  • Dental

  • Life

  • Retirement

Identify common installation or usage issues contributing to warranty calls or claims and ... analyses are conducted properly and on time. * Monitor key quality metrics (PPM, scrap, rework ...

Senior Quality Analyst

Madison, WI · Remote

$66K - $83K/yr

  • Medical

As a Senior Quality Analyst , you'll play a critical role in protecting operational excellence ... Extensive experience with complex claims processing and auditing * Strong understanding of medical ...

Senior Quality Analyst

Madison, WI · On-site

$66K - $83K/yr

  • Medical

As a Senior Quality Analyst , you'll play a critical role in protecting operational excellence ... Extensive experience with complex claims processing and auditing * Strong understanding of medical ...

... Claims process in case of back office) Mandatory Skills: * Must be good in coaching skills (for ... Completes Quality Control Reports as assigned on a daily basis, makes corrections to CRS when ...

Position Summary As a Senior Data Quality Analyst at Cedar Gate Technologies, an IQVIA business ... You will work with complex healthcare datasets, including medical claims, pharmacy claims ...

Position Summary As a Senior Data Quality Analyst at Cedar Gate Technologies, an IQVIA business ... You will work with complex healthcare datasets, including medical claims, pharmacy claims ...

Senior Quality Analyst

Madison, WI · Remote

$66K - $83K/yr

  • Medical

As a Senior Quality Analyst , you'll play a critical role in protecting operational excellence ... Extensive experience with complex claims processing and auditing * Strong understanding of medical ...

Position Summary As a Senior Data Quality Analyst at Cedar Gate Technologies, an IQVIA business ... You will work with complex healthcare datasets, including medical claims, pharmacy claims ...

QA Analyst

Atlanta, GA

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Quality Analyst Location: Atlanta, GA Duration: 10 month (may extend) Our top direct client is ... claims data such as professional, institutional, pharmacy, and dental claims. * 4+ years of ...

Data Quality Analyst Location: Remote Duration: 3-6+ months (possible extension) Position Summary ... Experience in healthcare or health plan data (claims, enrollment, HEDIS/Stars). * Familiarity with ...

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Claims Quality Analyst information

See salary details

$14

$27

$51

How much do claims quality analyst jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for claims quality analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a claims quality analyst?

To thrive as a Claims Quality Analyst, you need a strong understanding of insurance claims processes, attention to detail, and experience with quality assurance methodologies, often supported by a relevant degree or claims certification. Familiarity with claims management systems, auditing software, and data analysis tools like Excel or SQL is typically required. Excellent analytical thinking, communication, and problem-solving skills help you identify errors and communicate findings effectively. These abilities are crucial for ensuring accuracy, compliance, and process improvements in claims handling.

What is a claims quality analyst?

A Claims Quality Analyst is a professional who reviews and evaluates insurance claims processes to ensure accuracy, compliance, and efficiency. They analyze claim files, audit claim decisions, and identify trends or errors to help improve the overall quality of claims handling. Their role is crucial in maintaining high standards, reducing errors, and ensuring that claims are processed in accordance with company policies and regulatory requirements.

What is the difference between Claims Quality Analyst vs Claims Examiner?

AspectClaims Quality AnalystClaims Examiner
Primary RoleReviews and audits claims to ensure accuracy and compliance with policiesProcesses and approves or denies insurance claims based on policy details
Required SkillsAttention to detail, knowledge of claims processes, quality assuranceAnalytical skills, knowledge of insurance policies, decision-making
Work EnvironmentOffice setting, quality assurance teamsClaims departments, insurance offices
CertificationsTypically no specific certifications required, but industry knowledge beneficialLikewise, certifications are optional but helpful (e.g., CPCU)

Claims Quality Analysts focus on reviewing claims for accuracy and compliance, ensuring quality standards are met, while Claims Examiners handle the processing and decision-making on individual claims. Both roles require knowledge of insurance policies but differ in their primary responsibilities and focus areas.

How much do claims quality analysts make in the US?

Claims quality analysts in the US typically earn between $45,000 and $70,000 annually, depending on experience, location, and employer size. Entry-level roles may start around $40,000, while experienced analysts with certifications can earn over $75,000. The role often requires attention to detail and familiarity with claims processing systems.

What are some common challenges faced by claims quality analysts, and how can these be effectively managed?

Claims Quality Analysts often encounter challenges such as balancing high-volume case reviews with the need for thoroughness, staying updated on evolving regulatory requirements, and communicating findings constructively to claims teams. Effective management involves strong organizational skills, continuous learning, and clear, empathetic communication. Building collaborative relationships with claims adjusters and participating in ongoing training sessions can help Analysts stay current and foster a culture of continuous improvement within the team.
More about Claims Quality Analyst jobs

What are the most commonly searched types of Claims Quality Analyst jobs?

The most popular types of Claims Quality Analyst jobs are:

What states have the most Claims Quality Analyst jobs?

States with the most job openings for Claims Quality Analyst jobs include:

Infographic showing various Claims Quality Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

Corporate Quality Analyst

A.O. Smith

Ashland City, TN • Hybrid

Full-time

Medical, Dental, Life, Retirement

Re-posted 14 days ago


A. O. Smith rating

6.8

Company rating: 6.8 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

367th of 490 rated machine equipment manufacturers


Job description

Company / Location Information

A.O. Smith is a global leader applying innovative technologies and energy-efficient solutions to products manufactured and marketed worldwide. The company is one of the world's leading manufacturers of residential and commercial water heating equipment and boilers, as well as a manufacturer of water treatment products for residential and light commercial applications. A. O. Smith is headquartered in Milwaukee, Wisconsin, with approximately 12,000 employees at operations in the United States, Canada, China, India, Mexico, the Netherlands, and the United Kingdom.

This position will be working at our Ashland City, TN location and is eligible for a hybrid schedule after 90 days of employment

Primary Function

The NAWH Quality Engineer is responsible for ensuring that products and processes within the division meet established quality standards and customer requirements.  This role analyzes failure data to identify product and process improvements and collaborates with internal teams and suppliers to reduce warranty costs while improving customer satisfaction. The NAWH Quality Engineer plays a key role in ensuring our water heater products meet or exceed performance expectations throughout their lifecycle.

Responsibilities

 Data Analysis & Reporting

  • Analyze claim data to identify patterns in product failures, components with high replacement rates, and seasonal trends.
  • Identify common installation or usage issues contributing to warranty calls or claims and recommends training or policy changes.
  • Provide feedback to product development teams for design improvements that reduce warranty incidents.
  • Monitor Field Failure Analysis findings and ensure that analyses are conducted properly and on time.
  • Monitor key quality metrics (PPM, scrap, rework, warranty costs per unit, COPQ
  • Design and generate weekly, monthly and quarterly warranty performance reports for management and cross functional team.
  • Provide ad hoc reports for specific components, models, or issues.
  • Work with IT/Business Analysts to improve data availability automation for reports and analysis.

Customer Quality Support/Continuous Improvement

  • Serve as an internal liaison for customer quality concerns.
  • Lead or participate in Lean/Six Sigma projects to reduce defects and improve efficiency.
  • Participate in cross-functional root cause investigations for high-cost failures (e.g., tank leaks, control board failures).
  • Facilitate quality issues  meetings to drive awareness and effective action.
  • Visit customers in coordination with Sales in order to improve customer experience.

Quality Systems Management:

  • Drive standardization of quality practices across the division.
  • Ensure that the quality function responsibilities are properly executed within AO Smith New Product Development process
  • Maintain and improve the division's Quality Management System (QMS) in compliance with ISO 9001 and other applicable standards.
  • Conduct internal audits and support external audits.
Qualifications

Education & Experience

  • Bachelor's degree in Business, Engineering, Quality, or related field preferred.
  • 5+ years in quality assurance, or technical service-preferably in the appliance, HVAC, or plumbing industry.
  • Experience working with SAP/CRM systems.
  • Experience with ISO standards, PPAP, APQP, and statistical process control.
  • Six Sigma Black Belt.

Performance Metrics

  • Warranty rates for product categories (goal: year-over-year reduction).
  • Reduction in repeat failure claims.
  • Service call rates reduced year-over-year.

Skills & Competencies

  • Strong analytical skills with ability to interpret technical failure data.
  • Understanding and ability to perform statistical analysis.
  • Proficiency in Microsoft Excel (pivot tables, charts, tables, macros), Smartsheet and Minitab.
  • Understanding of water heater components, operation, and installation practices (a plus).
  • Excellent communication skills to work with technicians, suppliers, managers, and cross-functional teams.
  • Creating and presenting of Microsoft PowerPoint presentations to groups of people.
  • Excellent communication and interpersonal abilities.
  • High attention to detail and accuracy in recordkeeping.
  • Tableau and/or Power BI proficiency
  • Proficiency in quality tools (FMEA, 8D, SPC, DOE, COQ, MSA, AQP, PPAP, etc.)

 

Preferred

  • 2+ years in warranty administration and claims processing software.
  • Experience with tank and tankless water heater products.
  • Familiarity with plumbing codes and standards related to water heaters.
  • ASQ Certified Quality Engineer (CQE)
  • Six Sigma Master Black Belt experience.
  • Lean Manufacturing/TPS experience.
Education
Bachelor's Degree in Engineering or Business Management
We Offer

Competitive compensation package and comprehensive benefits plans which include medical and dental insurance, company-sponsored life insurance, retirement security savings plan, short- and long-term disability programs and tuition assistance. 
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ADA Statement & EEO Statement

In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.

We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.


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