Quality Assurance Analyst

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)