Quality Review Specialist – Group Life Insurance, Group Insurance Claims Experience Required
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Job Description
Quality Review Specialist evaluating Group Life claims and enhancing insurance compliance processes. Collaborating with cross-functional teams to develop quality assurance programs and improve customer experience.
Responsibilities:
- Conduct thorough reviews of Individual & Group Life claims to ensure compliance with internal, state and regulatory requirements.
- Share feedback with a coaching mindset with a focus on talent development and continuous improvement.
- Collaborate with cross-functional teams to identify opportunities for improvement in current processes.
- Stay updated on changes in insurance regulations and industry best practices.
- Partner with teams to develop innovative solutions to elevate outcomes and customer experience.
- Assist in establishing and building a comprehensive quality program tailored to the needs of our organization.
- Apply technical knowledge to evaluate and enhance the effectiveness of Life Claims and Waiver programs.
- Analyze data and generate reports to track performance metrics and identify emerging trends or opportunities.
Requirements:
- Group Life Insurance Claims Experience Required.
- Excellent organizational and time management skills with ability to multitask and prioritize deadlines.
- Ability to manage multiple and changing priorities.
- Detail oriented; able to analyze and research contract information.
- Demonstrated ability to operate with a sense of urgency.
- Experience in effectively meeting/exceeding individual professional expectations and team goals.
- Demonstrated analytical and math skills.
- Ability to exercise critical thinking skills, risk management skills and sound judgment.
- High level of flexibility to adapt to the changing needs of the organization.
- Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment.
- Continuous improvement mindset.
Benefits:
- medical
- dental
- vision
- a 401(k) plan
- paid time off
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