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Client Setup Quality Assurance Specialist

4 weeks ago

Philadelphia, Pennsylvania, United States Innova solutions Full time
Client Setup Quality Assurance Specialist

We are seeking a highly skilled Client Setup Quality Assurance Specialist to join our team at Innova Solutions. As a Client Setup Quality Assurance Specialist, you will be responsible for ensuring the accuracy and quality of client benefits setup and audit results.

Key Responsibilities:

  • Participate in pre and post implementation audits of client benefits and setup.
  • Prepare accurate and complete claims test scenarios.
  • Perform comprehensive group setup audits to validate setup accuracy and/or compliance issues to ensure quality setup for clients.
  • Review claims and systems to validate benefit setup accuracy for Medical products including Ancillary Setup as required.
  • Effectively document and review audit results to ensure benefits are compliant with set up requirements and Client's contracted benefits.
  • Assist Configuration team with building of benefit plans.

Requirements:

  • Bachelor's Degree preferred.
  • Auditing, quality review or transaction processing experience required.

What We Offer:

  • Competitive pay rate of $50 per hour.
  • A comprehensive benefits package including Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).
  • A dynamic and supportive work environment.