Our client is seeking a detail-oriented Claims Process Analyst to join their Claims Payments team, supporting Property & Casualty (P&C) claims operations. This role focuses on risk identification, compliance, and process integrity to ensure claims payments are accurate, timely, and aligned with operational standards.
You will play a critical role in analyzing claims that require deeper investigation, identifying root causes of payment issues, and recommending process improvements to prevent future errors. Key Responsibilities
Analyze large volumes of claims data (e.G., 500–800+ claims at a time) to validate system accuracy and process effectiveness
Conduct root cause analysis to identify whether issues stem from system defects, process gaps, or compliance risks
Prioritize and manage backlog reports, focusing on high-impact claims and time-sensitive issues
Partner with adjusters, claims operations, and underwriting teams to resolve payment exceptions and discrepancies
Identify opportunities to streamline workflows, improve controls, and enhance overall process efficiency
Develop and refine standard operating procedures (SOPs) where gaps or inconsistencies exist
Complete required documentation, including forms, reports, and member/customer communications (letters)
Respond to ad hoc analysis requests and provide clear, actionable insights
Deliver summaries and recommendations to leadership, supporting continuous improvement initiatives
Required Qualifications
Experience in Property & Casualty (P&C) claims or claims operations
Background in claims payments, underwriting support, or financial operations within insurance
Familiarity with claims systems such as Guidewire or similar platforms
Strong analytical and problem-solving skills with high attention to detail
Ability to assess and differentiate system, process, and compliance-related issues
Experience working in fast-paced, unstructured environments with shifting priorities
Strong written communication skills, including the ability to summarize findings and provide recommendations
About the Company
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Peyton Resource Group
Established in 2001, Peyton Resource Group is a solution-based staffing company that matches businesses with top talent for short-term, long-term or permanent needs.
People are a business’s most valuable asset. Peyton Resource Group is dedicated to helping companies find the best talent, matching professionals with jobs where they will thrive.
With locations in Dallas/Fort Worth, San Antonio and Austin, we are available to serve your staffing needs throughout Texas and across the country.