Quality Specialist

• Conduct quality assurance reviews of designated draft Proof of Claim (POC), Motion for Relief (MFR), and Response to Notice of Final Cure (RNOFC) items routed through established workflow controls prior to finalization, focusing on accuracy, completeness, formatting, redaction, naming conventions, exhibit or attachment labeling, client-specific requirements, and overall quality.
• Complete quality control reviews of internal audits, including post-filing audits, for POC, MFR, Payment Change Notice (PCN), Post-Petition Fee Notice (PPFN), Agreed Order (AO), and other assigned document or process types.
• Review system completions and updates for accuracy, consistency, required documentation, and adherence to approved procedures and workflow expectations.
• Review client alert items as needed against applicable standards, workflow requirements, and documented instructions.
• Document review results, exceptions, and supporting details clearly in designated trackers, audit templates, systems, and/or workflow tools.
• Communicate identified issues to Quality Management leadership and appropriate operational contacts in a timely, professional manner; request clarification as needed to complete assigned reviews accurately.
• Follow approved QA/QC job aids, audit templates, sampling instructions, client requirements, policies, procedures, and escalation protocols.
• Assist with updates to review notes, job aids, audit templates, and process feedback as directed by Quality Management leadership.
• Protect and maintain the confidentiality of client, borrower, and firm information by complying with firm policies, data security protocols, privacy requirements, and all applicable laws and regulations.
• Exercise sound judgment when handling sensitive financial information and safeguard data against unauthorized access, disclosure, or misuse.

Quality Specialist ensuring compliance with legal procedures in a remote law firm.

Quality Management Specialist

Quality Specialist supporting assurance reviews and compliance checks for legal documents at Padgett Law Group, a creditors' rights firm. Conducting detailed audits and maintaining quality control standards.

• Lead and organize training for all Quality Specialists on audit processes, procedures, and tools.
• Conduct complex audits and verifying quality standards for selected inquiries and make decisions whether discrepant information meets BCBSA and FEP audit requirements, state, and federal mandates.
• Provide second-level support on escalated issues and audit findings.
• Collaborate with team members, OCLD, and management to identify training gaps and business needs and implement actions while partnering to address these issues.
• Review, evaluate, and provide feedback on trainees’ audits and learning processes.
• Act as a consultant with external departments to help resolve high-impact business issues by recommending action plans related to quality assurance.
• Assist the Data Reporting Analyst in collecting data and providing analyses for various issues across the department and other functional areas.
• Foster a training and auditing culture that values diversity of thought, leveraging team member strengths to achieve team goals.
• Assist with external audits and lead special projects.
• Perform other duties as assigned.

Quality Specialist III ensuring compliance and conducting complex audits at Premera.

Quality Specialist III

Quality Specialist III role at Premera focusing on compliance, quality assurance, and auditing within healthcare services.

Quality Specialist jobs in Kentucky

See all jobs on JobTailor

Quality Management Specialist

Quality Specialist III