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Senior Claims Quality Analyst Jobs (NOW HIRING)

This includes analyzing coverage, contacting the customers, investigating the facts surrounding the ... Senior Claims Representatives are required to understand and comply with Insurance Regulations ...

This includes analyzing coverage, contacting the customers, investigating the facts surrounding the ... Senior Claims Representatives are required to understand and comply with Insurance Regulations ...

This includes analyzing coverage, contacting the customers, investigating the facts surrounding the ... Senior Claims Representatives are required to understand and comply with Insurance Regulations ...

This includes analyzing coverage, contacting the customers, investigating the facts surrounding the ... Senior Claims Representatives are required to understand and comply with Insurance Regulations ...

This includes analyzing coverage, contacting the customers, investigating the facts surrounding the ... Senior Claims Representatives are required to understand and comply with Insurance Regulations ...

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Senior Claims Quality Analyst information

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$22

$48

$92

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

As of Sep 1, 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 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.

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 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.

Is a senior claims quality analyst a good career?

A senior claims quality analyst is a valuable role in the insurance industry, focusing on reviewing and improving claims processes to ensure accuracy and compliance. It often requires strong analytical skills, attention to detail, and knowledge of claims management systems, making it a stable career with opportunities for advancement. The role can lead to positions in management or specialized areas within insurance companies.

What does a senior claims quality analyst do?

A senior claims quality analyst reviews insurance claims to ensure accuracy, compliance, and adherence to company policies. They analyze claim data, identify errors or inconsistencies, and recommend process improvements, often using quality assurance tools and metrics. This role requires strong attention to detail, knowledge of claims processing, and experience with auditing procedures.
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What states have the most Senior Claims Quality Analyst jobs?

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What job categories do people searching Senior Claims Quality Analyst jobs look for?

The top searched job categories for Senior Claims Quality Analyst jobs are:

Infographic showing various Senior Claims Quality Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $101,756 per year, or $48.9 per hour.

$105K - $135K/yr

Full-time

Posted 11 days ago


Job description

Description

Sr. Claims Data Analyst

Aspire General Insurance | Full-Time

Department: ITย 


Are you looking for more than just a job? Do you want a career with a growing, stable organization where your ideas are valued, your contributions make an impact, and your professional development is supported?


At Aspire General Insurance, you'll join an established and collaborative team where innovation is encouraged, continuous learning is embraced, and career growth is a priority. If you're passionate about leveraging data to drive business decisions and want to be part of an organization investing in its future, we'd love to speak with you.


Required Qualifications:ย 
  • 3-5+ years of experience in a Data Analyst, Business Intelligence, or Analytics role.
  • Strong SQL (T-SQL) experience, including writing and troubleshooting complex queries and stored procedures.
  • Advanced Power BI experience, including dashboard development, reporting, and DAX.
  • Ability to work independently with large and complex datasets.
  • Strong analytical, problem-solving, and communication skills.
  • Ability to translate technical findings into actionable business recommendations.
  • Experience collaborating with business stakeholders and technical teams.
Preferred Qualifications
  • Bachelor's degree in Statistics, Data Science, Computer Science, Actuarial Science, Mathematics, Business Analytics, or a related quantitative field.
  • Insurance, Financial Services, or Claims Operations experience.
  • Knowledge of Personal Auto Insurance and claims data.
  • Experience with Microsoft Fabric, DirectLake, Azure Data Factory (ADF), and Lakehouse environments.
  • Familiarity with actuarial concepts such as loss ratio, claim severity, and reserve adequacy.
  • Experience utilizing AI-assisted analytics and reporting tools.

About the role:ย 


Under the direction of the Director of Claims Reporting & Analytics, the Sr. Claims Data Analyst serves as a key analytics partner to Claims Operations. This role bridges the gap between business operations and technology by transforming complex claims data into meaningful dashboards, reporting, insights, and recommendations that drive business performance.

The ideal candidate is equally comfortable working with SQL and Power BI as they are partnering with business leaders to solve operational challenges and improve decision-making.


Job Responsibilities:

  • Develop and maintain SQL queries and stored procedures to support reporting, analysis, and operational decision-making.
  • Design, build, and enhance Power BI dashboards and reports utilizing Microsoft Fabric and DirectLake technologies.
  • Support the development of operational dashboards, including Casualty, SIU, and claims performance reporting.
  • Perform trend analysis, forecasting, and exploratory analytics to identify emerging risks and business opportunities.
  • Analyze claims data to identify leakage, payment anomalies, fraud indicators, and operational inefficiencies.
  • Develop performance scorecards and workforce productivity reporting.
  • Conduct statistical analyses to evaluate claim severity, closing ratios, reserve activity, and operational effectiveness.
  • Translate business questions into meaningful reporting and actionable insights.
  • Partner with IT and Data Engineering teams to ensure data integrity and reporting reliability.
  • Evaluate and implement AI-assisted analytics solutions to improve business outcomes.
  • Maintain reporting documentation, standards, and governance practices.
  • Stay current on industry trends, technology advancements, and analytics best practices.

What Success Looks Like:ย 

  • Delivering accurate, timely, and impactful reporting.
  • Providing meaningful insights that influence business decisions.
  • Identifying opportunities for operational improvement and efficiency.
  • Building strong partnerships across Claims, IT, and Leadership teams.
  • Contributing to a culture of innovation, collaboration, and continuous improvement.

Work Environment:ย 

  • Professional office environment or approved remote/hybrid setting.
  • Frequent use of SQL, Power BI, reporting platforms, and business intelligence tools.
  • Regular interaction with Claims Operations, IT, leadership teams, and key stakeholders.
  • Fast-paced environment requiring strong prioritization, organization, and analytical thinking.
  • Occasional travel may be required.

Physical Requirements:ย 

  • Ability to work at a computer for extended periods.
  • Ability to analyze large data sets and review reports across multiple screens.
  • Ability to communicate effectively with technical and non-technical audiences.
  • Ability to perform the essential functions of the role with or without reasonable accommodation.
Why Aspire?

At Aspire General Insurance, we believe great people drive great results. We invest in our employees, encourage innovation, and provide opportunities for growth and advancement. If you're looking for a company where you can learn, contribute, and build a long-term career, we'd love to hear from you.


Aspire General Insurance is an Equal Opportunity Employer.


Requirements


  • 3-5+ years of experience in a Data Analyst, Business Intelligence, or Analytics role.
  • Strong SQL (T-SQL) experience, including writing and troubleshooting complex queries and stored procedures.
  • Advanced Power BI experience, including dashboard development, reporting, and DAX.
  • Ability to work independently with large and complex datasets.
  • Strong analytical, problem-solving, and communication skills.
  • Ability to translate technical findings into actionable business recommendations.
  • Experience collaborating with business stakeholders and technical teams.