Jobs
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Reference V/13150
Job Description
We are pleased to be working alongside an innovative Claims Management company who are currently looking for a Quality Assurance Analyst to ensure the quality of claims processing through the implementation and management of quality assurance processes and procedures.
Please be advised that this role is 100% remote, therefore applicants must be comfortable and at ease working from home.
Key Responsibilities:
- Analysing claims data and identifying emerging patterns and gaps in existing processes to improve the overall claims process.
- Conducting audits and reviews of claims to ensure compliance with industry regulations, company policies, and procedures, verifying that payments were made correctly and in accordance with appropriate plans and policies
- Identifying and analysing potential risks and fraud within the claims process
- Assisting with developing training materials, documentation, quick reference guides and helping to facilitate training sessions with the claims team
- Staying up to date on industry trends, regulations, and best practices related to claims quality assurance
Skills & Experience Required:
- 4 years of experience in claims quality assurance or related field
- Prior claims adjusting experience (preferred)
- Strong analytical skills and high attention to detail
- Ability to work independently and as part of a team in a fast-paced environment
- Bachelor’s degree or equivalent (preferred)
- Previous experience working with data analytics tools.
Benefits:
- A generous and competitive annual salary.
- Substantial health-insurance package.
- Pension plan with employer contributions.
- Industry Qualifications paid for (after a qualifying period).
- Competitive holiday / leave policy in addition to bank holidays.
- All the technology you require to allow to work from home effectively and comfortably.
(V/13150)