Take on a crucial role at Definity as a Claims Quality Assurance Advisor, leveraging a hybrid work model to support quality assurance in claims processing.
As part of the Claims team, you'll provide insights for quality assurance and risk management through your extensive expertise. Your responsibilities include analyzing claims data and translating complex findings into clear decision-making guidance for stakeholders. Collaborate effectively with claims management to uphold company standards and enhance QA methodologies.
Key Responsibilities:
• Review claims files to ensure compliance and accuracy
• Analyze trends to inform QA program development
• Report on QA findings and emerging risks
• Facilitate training and orientation for new hires
• Lead targeted QA improvement initiatives
Requirements:
• University Degree/College Diploma or relevant experience
• A decade of experience in handling claims
• Proven expertise in QA or audit functions
• Strong ...