Job Summary
A financial services firm is filling a position for a Remote Associate Operations Quality Assurance Analyst.
Candidates will be responsible for the following:
- Performing audits on transactions across USLI and meeting production and accuracy goals
- Providing training to Quality Associates on quality principles and auditing processes on multiple quality functions
- Providing training and mentorship for vendor partners
Must meet the following requirements for consideration:
- Two or more years claim adjudication and payment experience, paralegal experience, or other industry experience related to quality
- Medical knowledge, fluency with claim assessment terminology and medical record reviews
- Strong decision-making, interpretive and analytical skills relative to assessing insured current needs against contract language
- Strong interpersonal skills, with ability to coach and provide effective feedback across all levels of the organization
- Demonstrated PC/Technical Skills - Windows-based mainframe experience, as well as MS Office Suite
- Ability to prioritize work assignments and strong decision-making skills