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Claims Quality Analyst
West Bend Insurance Company. Review casualty claim files to assess quality, compliance, and adherence to West Bend’s best practices, policies, and adjusting procedures .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in claims handling and auditing, with a strong analytical mindset to assess compliance and quality in casualty claims. Proficient in building relationships and providing technical guidance to enhance team performance and stakeholder collaboration.
Highest-signal resume keywords
Claims Handling ExperienceClaims Auditing ExperienceRegulatory KnowledgeAnalytical SkillsStrong Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Auto InvestigationsBodily Injury ClaimsGeneral Liability ClaimsAudit AnalysisData Reporting
Soft Skills
Attention to DetailCoachingMentoringRelationship Building
Tools & Technologies
Audit DatabaseReporting ToolsCurrent Technology
Certifications & Qualifications
CPCUAICAINS
Industry Keywords
Insurance Industry StandardsComplianceClaims Performance Reviews
About the role
Key responsibilities & impact- Review casualty claim files to assess quality, compliance, and adherence to West Bend’s best practices, policies, and adjusting procedures
- Conduct claims performance reviews and analyze audit results to identify trends and areas for further review
- Manage the audit database, select and deploy files for review, and develop reporting on results
- Share findings and recommendations with Claims leadership
- Serve as a casualty claims resource for Claims and Training teams
- Partner with reviewers to provide guidance, calibration, and consistency throughout the audit process
- Provide technical guidance and coverage interpretation on low- to moderate-complexity issues
- Build productive relationships with stakeholders across Claims and other organizational areas
- Conduct targeted audits and special projects as needs arise
Requirements
What you’ll need- 7 years of claims handling experience, with experience in auto investigations, bodily injury, and general liability claims
- 3 years of claims auditing experience
- Experience working with complex or large claim files
- Strong knowledge of regulatory requirements and insurance industry standards
- Analytical mindset and ability to recognize meaningful patterns in audit results and claims data
- Strong attention to detail
- Ability to explain complex claims concepts, findings, or data straightforwardly
- Strong communication skills and ability to work effectively with Claims professionals and leadership
- Experience coaching, mentoring, or helping others build technical knowledge
- Comfort working with current technology, databases, and reporting tools
- Bachelor’s degree in Communications, Education, Business, or a related field preferred
- Insurance designations such as CPCU, AIC, or AINS preferred
Benefits
Comp & perks- Medical & Prescription Insurance
- Health Savings Account
- Dental Insurance
- Vision Insurance
- Short and Long Term Disability
- Flexible Spending Accounts
- Life and Accidental Death & Disability
- Accident and Critical Illness Insurance
- Employee Assistance Program
- 401(k) Plan with Company Match
- Pet Insurance
- Paid Time Off; standard first-year PTO is 17 days, prorated based on month of hire
- Enhanced PTO may be available for experienced candidates
- Bonus eligible based on performance
- Remote and hybrid work options