Analyst, Quality Assurance

About This Role

Perform quality control audits, reviews, and monitoring of departmental operations to identify problems, analyze cause and effect, and recommend improvements for a leading insurance provider.

Responsibilities

• Perform routine quality audits, reviews, or monitoring across various operations functions to ensure quality standards, procedures, and methodologies are followed
• Recognize and document any potential fraud and abuse situations
• Provide necessary feedback or coaching to operations and training areas on errors assessed so that additional training can be initiated as needed
• Compile data and generate reports for operations areas on quality performance
• Identify areas of weakness and communicate recommendations on changes and improvements to training materials
• Document findings of analysis and prepare recommendations for implementation of new systems, procedures or organizational changes
• Assist with training documentation and development of new processes and procedures
• Remain current with all guidelines, work instructions, etc.

Requirements

• High School Diploma or equivalent
• 1-year of related claims processing, customer service, auditing, training, analysis, or operations experience
• Good analytical, customer service, and organization skills
• Basic business math proficiency
• Ability to document problems and assist in their resolution
• Ability to document processes and identify areas for improvement
• Effective written and verbal communication skills
• Knowledge of Microsoft Office.

Qualifications

• High School Diploma or equivalent
• 1-year of related claims processing, customer service, auditing, training, analysis, or operations experience.

Nice to Have

• 1-year of experience in the healthcare or insurance industry.

Skills

* Required skills

Benefits