Client Setup Quality Assurance Specialist
6 days ago
Auditing Client Benefit Setup and Changes
We are seeking a skilled Client Benefit Setup and Changes Auditor to join our team. As a key member of our Client Setup Quality Assurance team, you will be responsible for auditing client benefit setup and changes to ensure accuracy and compliance.
Responsibilities- Participate in discussions with Product teams and Sales regarding client benefits and setup
- Identify trends and process improvement opportunities through audit findings
- Collaborate with client setup team members, Sales and Product Management on discrepancies and errors to be corrected
- Conduct audits of client setup documents, including benefit templates
- Document audit findings, draft audit summaries and comprehensive audit reports and present to Sales
- Audit Account Installation new business groups for in accordance with the established Underwriting guidelines
- Audit client benefit changes, administration changes and cancelations in accordance with the established Client Set Up and Underwriting Guidelines
- Ensure necessary documentation is received, product information is accurate, and rates are confirmed before the group is approved or benefits changes are processed
- Meet departmental production standards and quality requirements
- Properly document and track assigned inventory
- Respond to inquiries regarding departmental procedures/policies from Account Executives, Client Set up, Brokers, Enrollment and Billing
- Triage and resolve issues related to group set-up and benefit changes
- Handle errors and internal/external issues in a timely and effective manner to maintain turnaround times for completion of customer/group set-up
- Develop and maintain positive client relationships with internal and external customers and Account Executives
- Participate in special projects regarding customer implementation and changes
- Recommend process changes to increase departmental efficiency
- Perform additional duties as assigned
- Education: Bachelor's Degree preferred. In lieu of degree, must have 3-4 years relevant experience
- Experience: Minimum 4 years relevant experience required; Audit experience preferred. Auditing, quality review or transaction processing experience required
- Considerable knowledge of audit processes and requirements, including organization and storage of documentation
- Well-versed in best practice process and procedures
- In-depth knowledge of healthcare products, benefits, and systems
- Proven effectiveness in managing to project targets and deadlines
- Demonstrated effective project management skills necessary
- Ability to audit client documents to ensure benefits and products are set up correctly
- Flexibility and adaptability are a must
- Willingness to be cross-trained is required to assist other team members
- Strong communications skills required position interacts with all levels of management and may communicate with external clients as well
- Excellent time management and organizational skills required. Ability to prioritize workload and meet deadlines in a fast-paced environment without supervision
- Knowledge of systems, process flows, regulatory impacts, and timelines to ensure requirements and implementation are complying across operational disciplines
- Skilled in trend analysis and highly effective in communicating as the liaison with business partners on findings and recommendations focused on minimizing impacts to other areas and the customer
- Ability to review and analyze data to identify patterns of incorrect benefit setup and benefit application of the setup in accordance with sound audit methods and practices
- Must be strong problem-solver and be able to follow-up and take an issue to resolution
- Strong understanding of benefits and underwriting rating methodology. Capability to understand Underwriting guidelines and apply them
- Strong critical thinking skills
- High level technical aptitude required - ability to use Microsoft Office and to learn proprietary and vendor systems. Demonstrated experience with Microsoft products (Word, Excel and Power Point)
-
Senior Client Setup Quality Assurance Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Independence Blue Cross Full timeJob Title: Client Setup Quality Assurance SpecialistWe are seeking a highly skilled Client Setup Quality Assurance Specialist to join our team at Independence Blue Cross. As a key member of our organization, you will play a critical role in ensuring the quality and accuracy of client setup processes.Responsibilities:Participate in internal and external...
-
Client Setup Quality Assurance Specialist
1 week ago
Philadelphia, Pennsylvania, United States American CyberSystems, Inc. Full timeClient Setup Quality AnalystInnova Solutions is currently seeking a highly skilled Client Setup Quality Analyst to join our team. As a Client Setup Quality Analyst, you will be responsible for ensuring the quality of client setups, identifying and resolving any issues that may arise during the setup process.Key Responsibilities:Conduct thorough quality...
-
Senior Client Setup Quality Assurance Specialist
1 month ago
Philadelphia, Pennsylvania, United States Independence Blue Cross Full timeJob SummaryWe are seeking a highly skilled Senior Client Setup Quality Assurance Specialist to join our team at Independence Blue Cross. As a key member of our organization, you will play a critical role in ensuring the accuracy and quality of client benefits and setup.Key ResponsibilitiesParticipate in pre- and post-implementation audits of client benefits...
-
Client Setup Quality Assurance Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Volt Full timeJob Title: Client Setup Quality AnalystInnova Solutions is seeking a highly skilled Client Setup Quality Analyst to join our team. As a Client Setup Quality Analyst, you will play a critical role in ensuring the quality and accuracy of client benefit setups and compliance with regulatory requirements.Key Responsibilities:Audit client benefit setups to ensure...
-
Senior Client Setup Quality Assurance Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Independence Blue Cross Full timeAbout the RoleWe are seeking a highly skilled Senior Client Setup Quality Analyst to join our team at Independence Blue Cross. As a key member of our Client Setup team, you will play a critical role in ensuring the accuracy and quality of client benefit setups.ResponsibilitiesParticipate in internal and external audits to identify setup issues, trends, and...
-
Senior Client Setup Quality Assurance Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Independence Blue Cross Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Senior Client Setup Quality Analyst to join our team. As a key member of our organization, you will play a critical role in ensuring the accuracy and quality of client benefits setup.Key ResponsibilitiesParticipate in pre- and post-implementation audits of client benefits and setup to ensure...
-
Quality Assurance Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Independence Blue Cross Full timeJob SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at Independence Blue Cross. As a Quality Assurance Specialist, you will be responsible for auditing client and benefit setup to ensure accuracy and compliance.Key ResponsibilitiesAudit client setup documents, including benefit templates, to ensure accuracy and...
-
Quality Assurance Specialist
1 month ago
Philadelphia, Pennsylvania, United States Independence Blue Cross Full timeJob SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at Independence Blue Cross. As a Quality Assurance Specialist, you will be responsible for ensuring the accuracy and quality of client and benefit setup.Key ResponsibilitiesAudit client setup documents, including benefit templates, to ensure compliance with established...
-
Senior Client Setup Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Volt Full timeJob Title: Senior Client Setup SpecialistWe are seeking a highly skilled Senior Client Setup Specialist to join our team at Volt. As a Senior Client Setup Specialist, you will be responsible for ensuring the accurate and complete setup of client benefits and systems.Key Responsibilities:Participate in pre and post-implementation audits of client benefits and...
-
Senior Client Setup Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Volt Full timeJob Title: Senior Client Setup SpecialistWe are seeking a highly skilled Senior Client Setup Specialist to join our team at Volt. As a Senior Client Setup Specialist, you will be responsible for ensuring the accurate and efficient setup of client benefits and systems.Key Responsibilities:Participate in pre and post-implementation audits of client benefits...
-
Quality Assurance Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States American CyberSystems, Inc. Full timeClient Setup Quality AnalystInnova Solutions is currently seeking a highly skilled Client Setup Quality Analyst to join our team on a full-time contract basis. This exciting opportunity will last for at least 3 months, with the possibility of extension.Key Responsibilities:Assist in the setup and configuration of client systems to ensure seamless integration...
-
Quality Assurance Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Independence Blue Cross Full timeJob SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at Independence Blue Cross. As a Quality Assurance Specialist, you will be responsible for auditing client and benefit setup to ensure quality and accuracy.Key ResponsibilitiesAudit client setup documents, including benefit templates, to ensure accuracy and...
-
Senior Client Setup Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States American CyberSystems, Inc. Full timeJob Title: Senior Client Setup SpecialistWe are seeking a highly skilled Senior Client Setup Specialist to join our team at American CyberSystems, Inc. This is a full-time contract position with a duration of 3+ months, located in Philadelphia, PA.Job Summary:The Senior Client Setup Specialist will be responsible for participating in pre and...
-
Client Setup Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Innova Solutions Full timeJob Title: Client Setup AnalystInnova Solutions is seeking a highly skilled Client Setup Analyst to join our team. As a Client Setup Analyst, you will be responsible for auditing client benefit setup and changes, performing comprehensive group setup audits to identify processor accuracy and/or compliance issues, and ensuring quality setup for clients.Key...
-
Client Setup Specialist
1 week ago
Philadelphia, Pennsylvania, United States Innova Solutions Full timeClient Setup Analyst Opportunity at Innova SolutionsWe are seeking a highly skilled Client Setup Analyst to join our team at Innova Solutions. As a Client Setup Analyst, you will be responsible for ensuring seamless client onboarding and setup processes.Key Responsibilities:Conduct thorough audits to identify and resolve client setup issuesDevelop and...
-
Client Setup Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Innova Solutions Full timeClient Setup Analyst Opportunity at Innova SolutionsWe are seeking a highly skilled Client Setup Analyst to join our team at Innova Solutions. As a Client Setup Analyst, you will play a critical role in ensuring the smooth onboarding of clients and the successful implementation of our solutions.Key Responsibilities:Conduct thorough audits to identify and...
-
Client Setup Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Innova Solutions Full timeClient Setup AnalystInnova Solutions is currently seeking a highly skilled Client Setup Analyst to join our team.As a Client Setup Analyst, you will be responsible for:Ensuring seamless client onboarding and setup processesConfiguring and implementing client systems and softwareProviding exceptional customer service and supportCollaborating with...
-
Senior Client Setup Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States American CyberSystems, Inc. Full timeJob Title: Senior Client Setup AnalystWe are seeking a highly skilled Senior Client Setup Analyst to join our team at American CyberSystems, Inc. This is a challenging and rewarding role that requires strong technical expertise and excellent communication skills.Job Summary:The Senior Client Setup Analyst will be responsible for participating in pre and...
-
Quality Assurance Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Meet Full timeQuality Assurance Engineering SpecialistMeet our growing Biotech client, seeking a Quality Assurance Engineering Specialist/Senior level to join their team in Philadelphia, PA.Job Summary:As a Quality Assurance Engineering Specialist in the pharmaceutical industry, you will play a critical role in ensuring the quality and compliance of our products...
-
Senior Client Setup Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Volt Full timeJob Title: Senior Client Setup AnalystWe are seeking a highly skilled Senior Client Setup Analyst to join our team at Volt. As a Senior Client Setup Analyst, you will play a critical role in ensuring the accurate and efficient setup of client benefits and systems.Key Responsibilities:Participate in pre and post-implementation audits of client benefits and...
