Quality Assurance Lead Pets Best Insurance Services, LLC United States
Job highlights
Identified by Google from the original job post
| Qualifications•3+ years clinical veterinary experience•or 3+ years with medical processing within the insurance industry•1+ year performing claim processing audits/referrals•1 year working with claims including medical records | Responsibilities•This position is responsible for improving the efficiency and quality of the entire Claims department by providing claims staff with initial and ongoing training support•Will also provide quality audits, feedback, and job aids to the team•Collaborates with Quality Assurance manager to ensure accuracy of the quality team and creates helps support strategy to develop team•80% production 20% other auditing quality assurance team and other project work as assigned by Quality Assurance manager•Provides training, coaching and support to claims representatives by way of auditing and creating feedback loops•Audit the auditor to provide quality assurance of the department•Act as a liaison between front line leadership and Quality Assurance manager•Audit manual processed and automated claims•Assists with training materials, tutorials and training aids•Assists with processing quality checks•Attends, participates, and host meetings•Responsible for maintaining audit feedback turnaround times•Responsible for completing weekly and monthly Feedback forms•Assist with external audit request submitted by Underwriters•Assists with augmented and microlearning tools•All other duties as assigned by Quality Assurance managerBenefits•Pets Best offers pet insurance and wellness plans for dogs and cats in every state•Founded in 2005 with a mission to provide access to comprehensive animal healthcare at an affordable price, Pets Best delivers flexible coverage, an easy claims process, and excellent customer service |
Job description
Senior Specialist, Quality Assurance Claims Lead Pets Best offers pet insurance and wellness plans for dogs and cats in every state.Quality Assurance Lead Founded in 2005 with a mission to provide access to comprehensive animal healthcare at an affordable price, Pets Best delivers flexible coverage, an easy claims process, and excellent customer service Role Summary/Purpose: This position is responsible for improving the efficiency and quality of the entire Claims department by providing claims staff with initial and ongoing training support. Will also provide quality audits, feedback, and job aids to the team. Essential Responsibilities: •Quality Assurance Lead Collaborates with Quality Assurance manager to ensure accuracy of the quality team and creates helps support strategy to develop team • 80% production 20% other auditing quality assurance team and other project work as assigned by Quality Assurance manager • Provides training, coaching and support to claims representatives by way of auditing and creating feedback loops. •Quality Assurance Lead Audit the auditor to provide quality assurance of the department • Act as a liaison between front line leadership and Quality Assurance manager • Audit manual processed and automated claims • Assists with training materials, tutorials and training aids. • Assists with processing quality checks. • Attends, participates, and host meetings. • Responsible for maintaining audit feedback turnaround times. •Quality Assurance Lead Responsible for completing weekly and monthly Feedback forms. • Assist with external audit request submitted by Underwriters. • Assists with augmented and microlearning tools • All other duties as assigned by Quality Assurance manager. Qualifications / Requirements: • 3+ years clinical veterinary experience. or 3+ years with medical processing within the insurance industry •Quality Assurance Lead 1+ year performing claim processing audits/referrals • 1 year working with claims including medical records. Desired Characteristics: • Previous training experience with facilitating and creating training content. • Previous quality control / assurance within pet insurance experience •Quality Assurance Lead Experience with Microsoft Suite Product including Word, Excel, PowerPoint, and Outlook. • Excellent verbal and written communication skills. • Excellent organization, planning, prioritization, time management and problem-solving skills
