Quality Assurance Specialist

Job Summary

To ensure compliance and accuracy in transactions, the full-time Quality Assurance Specialist will audit service, claims, and enrollment processes remotely, while mentoring less experienced associates and identifying training opportunities.

Key responsibilities

• Audits assigned functions for accuracy, benefit payment, and compliance with policies and procedures
• Acts as a coach and mentor to less tenured associates, assisting with cross-training and skill development
• Proactively identifies trends and training opportunities based on quality evaluations

Required qualifications

• High School Diploma or GED
• 2 years of progressive experience in claims, customer service, enrollment, or billing auditing, preferably in healthcare or insurance
• Basic knowledge of quality assurance and production technologies
• Proficiency in Microsoft Office programs
• Basic understanding of industry standards and quality control techniques