Quality Assurance Analyst, Risk Control, Special Investigations

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $26 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Bestow

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2017

💼 Consulting

🏥 Healthcare

💳 Fintech

Consulting • Healthcare • Fintech

Bestow is a leading life insurance SaaS platform provider that offers innovative technology solutions for life and annuity insurance carriers. By providing tools such as digital applications, customizable underwriting engines, and comprehensive customer portals, Bestow helps streamline the entire insurance process from quoting to policy administration. The company focuses on enhancing the speed and efficiency of insurance operations, enabling carriers to launch new products swiftly and optimize their customer service capabilities.

📋 Description

• 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

• 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

• 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