Perform hands-on QA scoring and review of WellsOne Fraud and Billing work to ensure accuracy, policy adherence, compliance alignment, and correct application of procedures.
Apply QA methodology, scoring standards, and review thresholds consistently across all assigned evaluations.
Document exceptions, errors, and discrepancies clearly and accurately, escalating issues in accordance with team procedures.
Make final scoring decisions on fraud and dispute work and ensure proper documentation and communication of outcomes.
Review systems, workstreams, and documentation to ensure company standards are met, exceptions are noted, and issues are escalated appropriately.
Maintain, update, and improve desktop procedures, job aids, and QA process documentation in partnership with the QA Associate Manager.
Support production of QA metrics, performance summaries, and insights reflecting trends, gaps, or risk indicators.
Prepare calibration materials, facilitate calibration sessions, and ensure scoring consistency across reviewers and stakeholders.
Provide coaching and feedback to QA team members to promote accuracy, adherence to standards, and ongoing capability building.
Collaborate with business partners, operational leaders, and QA team members to ensure visibility into quality outcomes and emerging risks.

4+ years of Quality Assurance experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
Experience supporting QA in fraud, billing, payments, or financial services environments
Strong analytical skills with the ability to identify trends, gaps, and root-cause drivers
Ability to interpret policies, procedures, and regulatory requirements and translate them into QA decisions
Proficiency with QA scorecards, workflow tools, reporting systems, and Excel
Strong written and verbal communication skills, including documentation and training experience
Ability to work independently, manage competing priorities, and maintain accuracy in a fast-paced environment

Senior Quality Assurance Administrator

Key skills