Quality Assurance Analyst, Risk Control, Special Investigations

Bestow

Quality assurance and fraud investigations analyst supporting Bestow’s life insurance technology platform. Auditing TPA operations, monitoring controls, and preparing fraud referrals.

Posted 8/25/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $26 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Quality Assurance, Compliance, and Fraud Analysis within the life insurance and financial services sectors, with a strong ability to analyze complex transaction histories and identify compliance gaps. Proficient in delivering constructive feedback and collaborating on process improvements while maintaining detailed investigation records.

Highest-signal resume keywords

Quality AssuranceFraud AnalysisCompliance AuditsLife Insurance Policy LifecycleVerbal And Written Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality AuditsFraud AnalysisInternal Control AuditsQuality Monitoring SystemsTransaction AnalysisQuality Assurance ChecklistsRisk AssessmentData AnalysisDocumentation ManagementOperational Controls

Soft Skills

Constructive FeedbackCoachingCollaborationAttention To DetailProblem Solving

Industry Keywords

TPA IndustryLife InsuranceFinancial ServicesState RegulationsFederal RegulationsCompliance StandardsOperational ProceduresRisk ManagementFraud AwarenessService Forms

About the role

Key responsibilities & impact

Conduct comprehensive quality audits of inbound and outbound call center interactions
Review and audit completed service and administrative forms for completeness, accuracy, and proper processing workflow
Deliver timely, objective, and constructive feedback and coaching to call center agents and team leads
Track, analyze, and report on TPA and QA metrics and trends
Identify root causes of errors and compliance gaps
Review and analyze internal fraud referrals involving claims, policy changes, and applications
Collect, organize, and summarize documentation and system history related to suspicious cases
Conduct preliminary fraud analysis and prepare documented case files for referral to the insurance carrier’s Special Investigations Unit
Maintain detailed and confidential investigation records
Monitor defined operational and financial controls within the TPA processing environment
Report control gaps, deficiencies, and emerging risks to Risk and Compliance leadership
Collaborate with Operations and Training teams on process changes, control enhancements, and documentation improvements
Assist with compliance, fraud awareness, and quality standards training

Requirements

What you’ll need

Minimum of 2 years of professional experience in Quality Assurance (QA), Compliance, Fraud Analysis, or an operational role within the life insurance, financial services, or TPA industry
Strong working knowledge of life insurance policy lifecycle, administrative forms, and general TPA operating procedures
Ability to analyze complex transaction histories, identify unusual patterns, and draw sound conclusions for risk and fraud assessment
Exceptional verbal and written communication skills
Experience with a formal quality monitoring system preferred
Familiarity with state and federal regulations governing life insurance preferred
Experience conducting internal control audits (SOX, SOC) preferred
Experience creating quality assurance checklists within QA systems preferred
Must be eligible to work in the United States; Bestow uses E-Verify to confirm employment eligibility

Benefits

Comp & perks

Competitive salary and equity based on role
Flexible paid time off
Parental leave programs
100% paid-premium option for medical, dental, and vision insurance
Lifestyle stipend supporting physical, emotional, and financial wellbeing
Flexible work-from-home policy
Remote and WFH options
State-of-the-art Dallas office option
Employee-led diversity, equity, and inclusion initiatives