Quality Assurance Specialist

2 months ago


Mason, United States Global Channel Management, Inc Full time

Job Title: Quality Assurance Specialist

Job Summary:

Global Channel Management, Inc is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality of our services and resolving member and provider complaints in a timely and efficient manner.

Key Responsibilities:

  • Complaint Resolution: Review and resolve member and provider complaints in a fair and impartial manner.
  • Record Keeping: Maintain accurate and up-to-date records of complaints and grievances.
  • Agenda Coordination: Coordinate complaints and prepare agendas for meetings and discussions.
  • Notification: Notify participants of complaints and grievances in a timely and professional manner.

Requirements:

  • Hybrid Schedule: Requires a hybrid schedule of 2 days/week.
  • Experience: Experience in grievance, appeals, and call center environments.
  • Communication Skills: Strong written and verbal communication skills.
  • Background: Background in health claims processing.


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