Quality Assessment Specialist

Job Summary

To support a growing Claims Operations team, the fully remote Quality Assessment Specialist will audit claims intake accuracy, ensure compliance with documentation standards, and deliver actionable feedback to enhance customer interactions.

Key responsibilities

• Conduct structured quality reviews of claims intake calls and customer interactions against defined rubrics
• Participate in calibration sessions to ensure consistent scoring standards across reviewers
• Track and report QA trends to leadership, identifying systemic issues and recommending improvements

Required qualifications

• 2+ years of experience in claims processing, customer support, or a related operations role
• Strong working knowledge of claims intake processes and relevant compliance requirements
• Experience with data tracking and reporting tools such as spreadsheets and dashboards
• Ability to deliver constructive feedback and identify coaching opportunities
• High attention to detail and consistency in scoring and judgment calls