Quality Analyst

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Team Focus Insurance Group

Team Focus Insurance Group

201 - 500 employees

Founded 1998

🛡️ Insurance

☁️ SaaS

🤝 B2B

Insurance • SaaS • B2B

Team Focus Insurance Group is a provider of flexible, cloud-based core administration and underwriting platforms designed to help insurance companies manage exposure, improve operating costs, and maximize profitability. Their InFocus Platform supports customer service, policy, billing, claims administration, and more, with a focus on real-time risk management. Team Focus offers tailored solutions and business process outsourcing (BPO) services to insurance companies, managing tasks like agency services, print, mail, and regulatory reporting. With a strong emphasis on technology and service integration, Team Focus Insurance Group caters to insurance startups and managing general agents (MGAs) by enhancing efficiency and providing bespoke software solutions.

📋 Description

• Conduct monthly audits across calls, tasks, and chat interactions for multiple departments • Evaluate work against established quality standards and current P&C carrier guidelines • Document audit findings and provide clear rationale to support scoring decisions • Assign final audit scores accurately and consistently • Maintain knowledge of evolving carrier guidelines, procedures, and quality standards • Participate in internal and external client meetings and follow-up discussions related to quality performance • Participate in and/or facilitate calibration sessions • Partner with clients and internal stakeholders to review audit findings, discuss expectations, and maintain alignment on scoring criteria • Respond professionally and timely to quality-related questions • Review disputed audit results and supporting documentation to determine whether scoring should be upheld or adjusted • Provide clear, objective explanations supporting final audit decisions • Respond to audit disputes within established service-level expectations, generally within 2–3 business days • Escalate complex quality concerns when appropriate • Manage audit responsibilities across multiple departments while meeting monthly quality and quantity requirements • Monitor and incorporate changes to carrier guidelines and departmental procedures • Collaborate with team members to ensure appropriate audit coverage during extended absences or periods of increased workload • Maintain accurate, organized audit documentation and records

🎯 Requirements

• 2–4 years of experience in quality assurance, auditing, insurance operations, or a related field preferred • P&C insurance experience strongly preferred • Experience reviewing work for accuracy, compliance, and adherence to established guidelines • Experience working in a deadline-driven environment with multiple priorities • Strong written and verbal communication skills, including experience communicating with clients or business partners • Demonstrated attention to detail, organization, and time-management skills • Ability to work independently while effectively collaborating with cross-functional team • Experience supporting multiple departments and/or P&C insurance carriers preferred • Strong analytical skills with the ability to interpret guidelines and make objective, well-supported decisions

🏖️ Benefits

• Medical, Dental, Vision, Life, Pet insurance • Flexible Spending Account • Competitive Salaries • 401K Match • Personal Days • PTO Days • 12 Paid Holidays • Two Paid Days for Volunteer Service • Paid Parental Leave • Short and Long-Term Disability • Employee Support Programs, Including Mental Health • Tuition Reimbursement • Matching Charitable Gift Program • Lucrative Referral Program • Commuter Benefits • Remote and Hybrid Opportunities Available • Development and advancement opportunities • Support of outstanding leaders and teammates

Apply Now

Similar Jobs

🔥 8 minutes ago

MRO

1001 - 5000

🏥 Healthcare

☁️ SaaS

📋 Compliance

Disability Quality Analyst reviewing medical records and FMLA requests for MediCopy. Ensuring HIPAA compliance, accurate processing, invoicing, and patient privacy.

🔥 9 minutes ago

Tufts University School of Dental Medicine

501 - 1000

🏥 Healthcare

💼 Consulting

📚 Education

Attribution Analyst managing healthcare member-provider data for Tufts Medicine’s value-based care network. Supporting attribution accuracy, quality reporting, risk adjustment, and contract performance.

🔥 43 minutes ago

Abbott

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧬 Biotechnology

Senior revenue cycle analyst using claims and operational data to improve reimbursement, denials, workflows, and reporting. Supporting Abbott’s global healthcare technology businesses with strategic insights.

🔥 1 hour ago

The Cigna Group

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Nurse Case Management Lead Analyst leading case-management strategies, care coordination, and healthcare data analysis. Improving patient outcomes for Evernorth Health Services, a Cigna Group division.

🔥 1 hour ago

PEAK6

1001 - 5000

💼 Consulting

🛡️ Insurance

💳 Fintech

Quality Analyst auditing calls, tasks, and chats against P&C insurance standards. Supporting PEAK6’s investment and technology businesses through client calibration and dispute resolution.