Analyst, Quality Assurance
BlueCross BlueShield of South Carolina
full-time
Posted on:
Location Type: Hybrid
Location: Columbia • South Carolina • United States
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Job Level
About the role
- 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.
Requirements
- 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
Benefits
- Subsidized health plans, dental and vision coverage
- 401k retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Education Assistance
- Service Recognition
- National discounts to movies, theaters, zoos, theme parks and more
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
quality auditsclaims processingcustomer serviceauditingtraininganalysisbusiness mathdata compilationreport generationprocess documentation
Soft Skills
analytical skillsorganizational skillsproblem-solvingcommunication skillscoachingfeedback provisionguidancerecommendation communicationtraining developmentattention to detail
Certifications
High School Diploma