Commercial Claims Quality & Performance Analyst III - Remote
Job Description
We are actively hiring for a Commercial Claims Quality & Performance Analyst III - Remote
Your Role:
Advanced-level role within the Commercial Claims Quality & Performance (Q&P) organization responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance. Serves as a subject matter expert in claims quality, operational compliance, audit methodologies, and quality management processes.
Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Leads calibration efforts, supports onboarding and implementation activities for new TPAs, and provides mentorship and guidance to Q&P analysts. Utilizes advanced analytical capabilities and reporting tools to drive process improvement opportunities and operational performance strategies.
Your Work:
• Conduct advanced audits and evaluations of internal and external Commercial claims operations.
• Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs.
• Identify operational, compliance, and claim quality risks and provide recommendations for improvement.
• Lead and facilitate calibration sessions with Q&P teams, Claims leadership, and business partners.
• Support onboarding, implementation, and oversight activities for new TPA relationships.
• Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards.
• Analyze quality trends and provide actionable operational insights to leadership.
• Mentor and support analysts through coaching, training, and knowledge-sharing activities.
• Support special projects, operational initiatives, and continuous improvement efforts.
• Partner with internal stakeholders to improve operational processes, communication strategies, and quality standards.
• Assist with development and maintenance of quality documentation, procedures, and knowledge management resources.
• Participate in UAT activities, reporting enhancements, and operational change initiatives.
Required Experience, Education and Skills:
• 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.
What would make us excited about you:
• Bachelor's Degree in related subject (Business) or equivalent combination of education and experience.
• Strong knowledge of Commercial products, services, policies, and procedures.
• Certificates or Designation through the American Institute of Chartered Property Casualty Underwriters (e.g., Associate in Insurance Servicing, INS 21-23) or working towards achievement.
Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.
Why Choose a Career at Mobilitas?
At Mobilitas, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive.
Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com.
Career Growth: We believe in growth for everyone. Here at Mobilitas, leaders and mentors partner with employees to align interests, unlock development opportunities, and support longterm success.
Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices. Our flexible workplace empowers you to balance remote work with intentional inperson moments that deepen connection and collaboration.
Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.
Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact.
Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us.
CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact [[email protected]](mailto:[email protected])
If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.
Mobilitas does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Mobilitas Insurance Group is an equal opportunity employer.
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00
We are actively hiring for a Commercial Claims Quality & Performance Analyst III - Remote
Your Role:
Advanced-level role within the Commercial Claims Quality & Performance (Q&P) organization responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance. Serves as a subject matter expert in claims quality, operational compliance, audit methodologies, and quality management processes.
Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Leads calibration efforts, supports onboarding and implementation activities for new TPAs, and provides mentorship and guidance to Q&P analysts. Utilizes advanced analytical capabilities and reporting tools to drive process improvement opportunities and operational performance strategies.
Your Work:
• Conduct advanced audits and evaluations of internal and external Commercial claims operations.
• Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs.
• Identify operational, compliance, and claim quality risks and provide recommendations for improvement.
• Lead and facilitate calibration sessions with Q&P teams, Claims leadership, and business partners.
• Support onboarding, implementation, and oversight activities for new TPA relationships.
• Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards.
• Analyze quality trends and provide actionable operational insights to leadership.
• Mentor and support analysts through coaching, training, and knowledge-sharing activities.
• Support special projects, operational initiatives, and continuous improvement efforts.
• Partner with internal stakeholders to improve operational processes, communication strategies, and quality standards.
• Assist with development and maintenance of quality documentation, procedures, and knowledge management resources.
• Participate in UAT activities, reporting enhancements, and operational change initiatives.
Required Experience, Education and Skills:
• 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.
What would make us excited about you:
• Bachelor's Degree in related subject (Business) or equivalent combination of education and experience.
• Strong knowledge of Commercial products, services, policies, and procedures.
• Certificates or Designation through the American Institute of Chartered Property Casualty Underwriters (e.g., Associate in Insurance Servicing, INS 21-23) or working towards achievement.
Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.
Why Choose a Career at Mobilitas?
At Mobilitas, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive.
Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com.
Career Growth: We believe in growth for everyone. Here at Mobilitas, leaders and mentors partner with employees to align interests, unlock development opportunities, and support longterm success.
Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices. Our flexible workplace empowers you to balance remote work with intentional inperson moments that deepen connection and collaboration.
Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.
Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact.
Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us.
CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact [[email protected]](mailto:[email protected])
If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.
Mobilitas does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Mobilitas Insurance Group is an equal opportunity employer.
#LI-CH1
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About CSAA Insurance Group
Why we're forever forward -- At CSAA IG, one thing will always endure: our commitment to excellence in everything we do for our members, employees and communities. As insurance industry leaders, we know things can change in an instant. It’s why we’re here.
We’re not afraid of change. We welcome it and use it to advance the cause. For employees, our cause is to become ever more inclusive and supportive of their goals and contributions. For our AAA Members, it’s finding new ways to help them prevent, prepare for and recover from whatever comes. For our communities, it’s exploring new ways of helping them meet evolving challenges.
Whatever may happen, change becomes progress at CSAA IG.
Benefits for today and for your future -- Benefits at CSAA IG represent our commitment to protect our employees by providing for their needs today and helping them prepare for a more secure future. Our suite of benefits is designed to provide for your physical, mental, social and financial health.
Our sense of belonging keeps us together -- Belonging is the feeling of being welcomed and accepted for who you are and the qualities you bring. It’s knowing you’re heard and valued as an individual and employee.
At CSAA IG, we share a strong sense of purpose and a hunger for adventure.
Change should always be expected, but can’t always be predicted. Whatever happens, we remain true to our beliefs and clear on our purpose. We meet change head on and grow from each experience.
A promise to act -- Life is uncertain, but we are not. When our AAA Members need us, we know how to move with the speed, expertise and confidence they rely on.