Claims Quality Assurance Data Analyst
Claims Quality Assurance Data Analyst
Please Note: This position is 100% remote; however, you must reside within 40 miles of our Costa Mesa, CA Office. You will be asked to come into the office for specific training courses and for quarterly team meetings to meet senior leaders and other members of the organization.
As a Claims Quality Assurance Data Analyst, you will be responsible for developing and implementing statistically valid sampling methodologies, including designing random samples and calculating optimal sample sizes based on staffing constraints, desired confidence intervals, and acceptable error rates. Additionally, it supports audit objectives by conducting significance testing, identifying trends, quantifying error rates, and delivering actionable insights through advanced statistical analysis.
What You Will Do
- You’ll identify and analyze trends to present to peers and managers
- You’ll design highly complex reports regarding claims audit data to track Audit Quality, Productivity, Trends and Opportunities along with developing reports to track new initiatives, annual performance goals, and provide analysis for recent results.
- Subject matter expert on external audit system. Liaison with vendor and other Business units such as Claims, and Data Analytics on matters of audit and reporting.
- You’ll maintain reports ...
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