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Senior Claims Quality Analyst Jobs (NOW HIRING)

Primma, LLC

Senior Claims Analyst

Trenton, NJ · On-site

$85K - $98K/yr

A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...

Primma, LLC

Senior Claims Analyst

Rochester, NY · On-site

$85K - $98K/yr

A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...

Primma, LLC

Senior Claims Analyst

Rochester, NY · On-site

$85K - $98K/yr

A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies. Essential Duties & Responsibilities: * Follow standard claims ...

Quartz

Senior Quality Analyst

Madison, WI · On-site

$66K - $83K/yr

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 ...

Quartz

Senior Quality Analyst

Madison, WI · Remote

$66K - $83K/yr

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 ...

Quartz Health Solutions

Senior Quality Analyst

Madison, WI · Remote

$66K - $83K/yr

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 ...

AmericanAg®

Senior Claims Manager

Schaumburg, IL · On-site

$165K - $190K/yr

As a Senior Claims Manager, you will be a trusted advisor to internal and external clients. You ... Experience drafting clear, concise legal analyses, coverage evaluations, position statements, and ...

AmericanAg®

Senior Claims Manager

Schaumburg, IL · On-site

$165K - $190K/yr

As a Senior Claims Manager, you will be a trusted advisor to internal and external clients. You ... Experience drafting clear, concise legal analyses, coverage evaluations, position statements, and ...

Artius Solutions

Senior Claims Specialist

Orange, CA · On-site

$110K - $130K/yr

Senior Claims Specialist - Medical Malpractice Location: Orange, CA 92859 (Onsite) Employment Type ... The ideal candidate will bring strong analytical expertise, litigation management experience, and ...

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Senior Claims Quality Analyst information

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How much do senior claims quality analyst jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for senior claims quality analyst in the United States is $48.92, according to ZipRecruiter salary data. Most workers in this role earn between $35.82 and $53.37 per hour, depending on experience, location, and employer.

What are some typical challenges faced by senior claims quality analysts and how can they be addressed?

Senior Claims Quality Analysts often encounter challenges such as identifying process inefficiencies, ensuring compliance with regulatory standards, and balancing the need for thorough analysis with timely claim processing. Effective communication and collaboration with claims adjusters and other stakeholders are vital to address discrepancies and implement process improvements. Staying updated on industry regulations and leveraging quality assurance tools can also help manage these challenges and maintain high standards.

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

AspectSenior Claims Quality AnalystClaims Quality Analyst
Required CredentialsBachelor's degree, certifications like CPCU or ASQBachelor's degree often preferred, certifications optional
Work EnvironmentInsurance companies, third-party administratorsInsurance companies, claims departments
Employer & Industry UsageCommonly used in larger organizations for quality oversightEntry to mid-level roles in claims processing

The Senior Claims Quality Analyst typically has more experience, advanced certifications, and responsibilities overseeing quality assurance processes. The Claims Quality Analyst focuses on processing claims accurately and ensuring quality at an operational level. Both roles are essential in insurance claims departments but differ mainly in seniority and scope of responsibilities.

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

To thrive as a Senior Claims Quality Analyst, you need expertise in claims processing, quality assurance methodologies, and a thorough understanding of insurance regulations, typically supported by a bachelor's degree and experience in claims management. Familiarity with claims management systems, auditing tools, and data analysis software such as Excel or SAS is commonly required. Attention to detail, analytical thinking, and strong communication skills help professionals identify errors and drive process improvements. These skills ensure the accuracy, compliance, and efficiency of claims operations, safeguarding both the organization and its clients.

What is a senior claims quality analyst?

Senior Claims Quality Analysts are experienced professionals who evaluate and ensure the accuracy, consistency, and compliance of insurance claims processing. They review claims files, audit claim decisions, and identify trends or errors to improve the overall quality of claims handling. In addition, they may develop training materials, work with claims teams to implement best practices, and report findings to management to help enhance operational efficiency and customer satisfaction.
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Senior Claims Quality Analyst jobs near you
Infographic showing various Senior Claims Quality Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $101,756 per year, or $48.9 per hour.

Senior Claims Analyst

Primma, LLC

Trenton, NJ • On-site

$85K - $98K/yr

Full-time

Re-posted 18 days ago

Job description

**This role is onsite at our Roslyn, NY, Rochester, NY, or Hamilton, NJ office, with the option for a hybrid schedule after the training period. **

General Summary: A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies.


Essential Duties & Responsibilities:

  • Follow standard claims protocols for documentation, coverage investigations, and file management.
  • Maintain accurate and organized claims files.
  • Investigate and document incident particulars, setting appropriate indemnity and expense reserves
  • Negotiate and bring to resolution directly and through defense attorneys
  • Attend trials and mediations when necessary.
  • Adhere to industry Best Practices for effective claim management.
  • Expand skills through participation in training and professional development courses.
  • Ensure exceptional data integrity
  • Proactive communication with insureds, other departments and claims leadership.
  • Perform additional duties and responsibilities as assigned.

Education & Qualifications:

  • Bachelor’s degree or JD required
  • Three years’ claims handling experience
  • NY adjusters license required within the first 6 – 12 months of employment.
  • Strong analytical and problem-solving skills with attention to detail.
  • Proficient business writing and oral communication skills
  • Ability to work independently as well as collaboratively within a team.
  • Strong ethical judgement and a commitment to maintaining confidentiality.
  • Must be able to work on site
  • Travel required as needed; may include overnight travel

The actual compensation for this position will be determined by experience and other factors permitted by law.