Senior Quality Assurance Analyst
2 weeks ago
At BlueCross BlueShield of South Carolina, we pride ourselves on our long-standing commitment to the community and our reputation as a leading health insurance provider. With a history spanning over seventy years, we have established ourselves as a pillar in the industry, recognized for our A.M. Best rating of A+ (Superior). Our extensive experience in managing government contracts and operating advanced data processing facilities sets us apart.
Position Title:
Senior Quality Assurance Analyst
Position Details:
- Contract to Hire
- Onsite Position Only
- Onsite Interviews Conducted
- Monday-Friday, 7:30 AM – 4:00 PM
- Key Skills: Attention to detail, proficiency in Microsoft software, self-motivated
Preferred Qualifications:
Experience in the insurance sector, particularly with Small Group insurance and sales quoting.
The selected candidate will undertake responsibilities such as:
- Conducting reviews and audits of small groups to ensure compliance with participation guidelines.
- Preparing and quality checking renewal packets for Small Groups, ensuring accuracy between system rates and manual documentation.
- Assisting in updating group plan modifications.
- Exhibiting strong communication skills, both verbal and written, to liaise with marketing representatives and agents regarding group statuses.
- Collaborating with team members, including those working remotely.
Key Responsibilities:
- Perform quality control audits to assess the accuracy and efficiency of departmental operations, including claims, membership, and customer service.
- Conduct focused quality audits across various operational functions to ensure adherence to quality standards and methodologies.
- Identify weaknesses and recommend improvements to training materials, providing management with feedback on errors and long-term solutions.
- Compile data and generate reports on quality performance, training new employees, and staying updated with guideline changes.
- Assist with special projects, including testing for new business implementations and system changes.
Required Skills and Qualifications:
- Education: High School Diploma or equivalent
- Experience: Minimum of 1 year in claims processing, customer service, auditing, or operations; 2 years in quality audits.
- Strong analytical, presentation, customer service, and organizational skills.
- Proficiency in Microsoft Office.
Work Environment:
Typical office setting.
Compensation:
The expected pay range for this position is $12.00/hour - $16.00/hour.
Benefits:
Medical, Dental, Vision, and 401K (subject to minimum eligibility hours).
We are proud to support our veterans and have many service members among our ranks, reflecting the dedication and skills that excel in our diverse business operations.
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