Account Review: Review of NCA’s (New Client Applications) and renewing client accounts, ensuring that their plans are set up in compliance with IRS regulations, HIPAA regulations and Dept. of Labor regulations. (Advanced)
COBRA: Various COBRA responsibilities, including the review of, and any changes to, Qualified Beneficiaries and Special Plan Members accounts, as well as ensuring accuracy of COBRA Plan and Rates setup. (Intermediate)
Call Scoring: Call monitoring to ensure accurate information is provided to our customers as well as making sure that our Participant Service representatives are providing the best possible experience. (Intermediate)
Peer Review: Daily Peer QA, by reviewing a sampling of each team member's work, so that you as the individual, as well as the team as a whole, can meet/exceed our individual/team accuracy of 98%. (Intermediate)
SOP and Document Review: Periodic review of our current processes and procedures and updating of our existing documentation and SOP's when necessary. (Advanced)
Audits and Projects: Working on various audits and projects when necessary and completing them within the set parameters of the audit or project in question. (Advanced)
Other Duties: Daily assignment of a variety of work items, typically assigned throughout the day as the workload comes in while maintaining the team's daily goals and turnaround times. (Intermediate)

Attention to Detail: Demonstrated ability to maintain a high level of accuracy in audits and reports. (Advanced)
Instruction Adherence: Capable of following detailed written and verbal instructions for conducting audits. (Intermediate)
Systems Knowledge: Strong understanding of Ameriflex systems, rules, regulations, processes, and procedures, and ability to navigate internet-based programs. (Advanced)
Communication Skills: Superior written and verbal communication skills, including email etiquette. (Intermediate)
Problem Solving: Proven history of identifying issues and making effective decisions to resolve them. (Advanced)
Time Management: Ability to manage multiple priorities independently and meet or exceed deadlines in a fast-paced environment. (Intermediate)
Team Collaboration: Works effectively in a team environment, sharing knowledge and providing support as needed. (Intermediate)
Education: Graduation from a four-year college preferred.
Experience: At least one year of professional experience in a related field required, with prior quality assurance experience considered a plus.

Medical Insurance
Vision Insurance
Dental Insurance
401(k) Matching
Flexible Spending Accounts
Health Savings Accounts
Disability & Life Insurance
Employee Assistance Program
LegalShield
ID Shield
Commuter Reimbursement Plan
Tuition Reimbursement
Bonus Pay
This position falls under our “Corporate Bonus Plan” which entitles you to a potential bonus payout of up to 10% of your annual salary as an annual bonus.
Wellable membership
Telescope Health (telehealth) through Accresa
Intellect (mental health) application
Employee engagement activities, including voluntary events, raffles, book club, and more!

Compliance Quality Assurance Specialist

Key skills