Attorney
Holt Law - Healthcare Business Law Firm
Call Center Accuracy Analyst
Health Care Service Corporation
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $48,500 - $91,000 per year
Job Level
JuniorMid-Level
About the role
- Review AI-generated transcripts, summaries, and behavioral insights from member/provider service calls
- Identify and escalate instances of incorrect or misleading information shared with the caller
- Interpret and validate AI-generated content (transcripts, summaries, and sentiment/behavioral scoring)
- Collaborate with teams to escalate issues and improve call accuracy
- Participate in quality monitoring and auditing processes
- Support training and quality improvement initiatives
Requirements
- Bachelor’s Degree
- 2 years of experience in health insurance operations
- strong knowledge of medical benefits, claims processing, and member communications
- Experience with AI/ML systems, transcription tools, or customer service analytics platforms
- Experience in call quality monitoring or auditing strongly preferred
- Strong analytical and critical thinking skills with a high attention to detail
- Comfort interpreting and validating AI-generated content (transcripts, summaries, and sentiment/behavioral scoring)
- Familiarity with HIPAA and related compliance standards
- Excellent written and verbal communication skills
- Background in health plan regulatory compliance, training, or quality improvement preferred
- Certification in healthcare claims or auditing (e.g., CPC, CPMA) is a plus
