Job Purpose

The Senior Auto Claims Analyst is a senior individual contributor responsible for governing claim outcomes, coverage interpretation, and operational consistency for vehicle service contract programs and other ancillary products related to the auto industry. This role provides technical authority, analytical leadership, and escalation oversight to ensure claims are handled accurately, consistently, and in full compliance with contract terms, regulatory requirements, and internal controls.

Primary Job Responsibilities
Claims Governance & Technical Authority
Serve as the technical authority for coverage interpretation, exception handling, and complex claim scenarios. Determine appropriate repair measures based on research, peer-to-peer examination, and job experience. Act as the final escalation point for high-risk, high-exposure, or precedent-setting claims. Establish and maintain adjudication standards, decision frameworks, and interpretation guidance to ensure consistency across teams. Ensure alignment between contract intent, regulatory requirements,



and operational execution. Offshore Adjudication Oversight & Quality Enablement
Provide indirect oversight and technical direction to offshore claims adjudication teams. Conduct targeted case reviews, calibration sessions, and thematic deep dives to assess quality and consistency. Identify systemic gaps and drive corrective actions through training updates, documentation, or process enhancements. Support alignment between onshore expectations and offshore execution without direct people management. Data Analysis, Insights & Forecasting
Analyze claims data to identify trends in frequency, severity, leakage, repair practices, and operational performance. Translate analytical findings into actionable recommendations that improve outcomes, controls, and efficiency. Support forecasting of claim volume, severity, and repair mix to inform planning and risk management. Partner with leadership, analytics, and fina

📌 Sr. Auto Claims Analyst (San Juan)
🏢 Assurant
📍 San Juan