Associate, Operations QA Auditor
Monitors and records the quality of work performed by units within the Operations Department for pre-payment of claims and claims audits, for all regions in all lines of business. Identify trends in specific errors and error rates. Determines and recommends needs for retraining, or clarification of work procedures. Develops and produces, periodic reports based on audits/projects completed, for the Quality Control Leadership. Presents these reports, as needed to specific leadership members within the Operations Department. Research, identify and corrects deficiencies related to work quality, workflow or specific quality issues. Performs other duties as assigned.
Minimum Education: High School degree or equivalent. Two-year college degree or directly related business experience preferred.
One year of high-volume claims processing experience required. Proven track record of claims processing experience consistently exceeding quality requirements. New York State Independent Adjusters license, or the ability to obtain a NYS Independent Adjusters license.
Good written and verbal communication skills; Proven organizational and analytic skills; Attention to detail and commitment to quality service required.
Working experience with PC spreadsheets and word processing preferred; Previous Quality Control experience preferred
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- Job Family Claims/Operations
- Pay Type Hourly
- Headquarters Office, Schenectady, New York, United States of America
- Rochester Office, Rochester, New York, United States of America
- Tarrytown Office, Tarrytown, New York, United States of America