Performs routine quality audits, reviews, or monitoring across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
Recognizes and documents any potential fraud and abuse situations.
May provide one on one guidance to new hires upon completion of initial training.
Provides necessary feedback or coaching to operations and training areas on errors assessed so that additional training can be initiated as needed.
Compiles data and generates reports for operations areas on quality performance.
Identifies areas of weakness and communicates recommendations on changes and improvements to training materials.
Documents findings of analysis and prepares recommendations for implementation of new systems, procedures or organizational changes.
Assists with training documentation and development of new processes and procedures.
Remains current with all guidelines, work instructions, etc.

High School Diploma or equivalent
1-year of related claims processing, customer service, auditing, training, analysis, or operations experience
Knowledge of Microsoft Office
Good analytical, customer service, and organization skills
Basic business math proficiency
Able to document problems and assist in their resolution
Able to document processes and identify areas for improvement
Effective written and verbal communication skills

Quality Assurance Analyst

Key skills