Quality Assurance Evaluator jobs at Allstate - 101 jobs
Quality Assurance Audit Team Lead
Pacificsource 3.9
Bend, OR jobs
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Quality Assurance Audit Team Lead provides supervision, leadership, and guidance to Claims Analysts, Quality Assurance Audit Specialists, Reinsurance Business Analysts, and support staff, ensuring adherence to company policies, procedures, and workflows. This role is responsible for managing claims production and quality to meet or exceed company standards, resolving adjudication issues, and overseeing hiring, training, coaching, and performance evaluation. As a leader, the Team Lead fosters a collaborative and inclusive team culture, encourages innovation, and supports management change. They coach team members to improve individual performance, build strong team dynamics, and inspire commitment to shared goals and organizational vision.
Essential Responsibilities:
Supervise, coach, train, and evaluate assigned staff to ensure claims processing meets department and company standards.
Analyze performance data to identify individual and team training needs and support ongoing development.
Collaborate with the Training Coordinator to deliver effective onboarding and continued education for team members.
Oversee and support accurate and timely processing of medical and dental claims, ensuring correct interpretation of benefit and policy provisions.
Assist with claim review and research to determine coverage based on contract terms, provider status, and processing guidelines.
Investigate and resolve claims adjudication issues, including disputes, and coordinate with appropriate departments to support grievance and appeal processes.
Respond to inquiries received by mail or email, and prepare clear, professional business correspondence and reports.
Communicate updates to claims-related processes and procedures to ensure team alignment and timely adoption.
Participate in interoffice committees and leadership peer groups to promote cross-functional collaboration and process efficiency.
Coordinate with other departments to support business activities and maintain effective partnerships.
Ensure compliance with HIPAA regulations and PacificSource privacy policies regarding the confidentiality and security of protected health information.
Support process improvement initiatives using lean methodologies and contribute to interdepartmental efforts to enhance workflows.
Use visual boards and daily huddles to monitor key performance indicators and identify opportunities for improvement.
Actively contribute to department meetings and strategic committees to share insights and represent company values.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum of 4 years of claims experience, or related experience in insurance or healthcare industry required. Minimum of 1 year of supervisory experience required.
Education, Certificates, Licenses: Requires high school diploma or equivalent.
Knowledge: Ability to gain a thorough understanding of PacificSource products, plan designs, provider relationships, and health insurance terminology. Basic working knowledge of Oregon Insurance Division rules and regulations. Thorough understanding of claims processing systems and operations. Advanced PC skills including Microsoft Word and Excel. Ability to type using a standard keyboard, operate a 10-key pad accurately, and use a multi-line telephone system and fax machine. Strong research skills and ability to evaluate claims for accurate auditing. Advanced knowledge of medical terminology and CPT / ICD-10 coding. Effective and responsive leadership skills. Ability to stay current with changes in PacificSource business processes and procedures and communicate updates to team members. Ability to work under time pressure and manage difficult situations. Collaborative team player with a strong work ethic and ability to work effectively with individuals at varying skill levels.
Competencies
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$106k-131k yearly est. Auto-Apply 8d ago
Looking for a job?
Let Zippia find it for you.
Quality Assurance Audit Team Lead
Pacificsource 3.9
Portland, OR jobs
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Quality Assurance Audit Team Lead provides supervision, leadership, and guidance to Claims Analysts, Quality Assurance Audit Specialists, Reinsurance Business Analysts, and support staff, ensuring adherence to company policies, procedures, and workflows. This role is responsible for managing claims production and quality to meet or exceed company standards, resolving adjudication issues, and overseeing hiring, training, coaching, and performance evaluation. As a leader, the Team Lead fosters a collaborative and inclusive team culture, encourages innovation, and supports management change. They coach team members to improve individual performance, build strong team dynamics, and inspire commitment to shared goals and organizational vision.
Essential Responsibilities:
Supervise, coach, train, and evaluate assigned staff to ensure claims processing meets department and company standards.
Analyze performance data to identify individual and team training needs and support ongoing development.
Collaborate with the Training Coordinator to deliver effective onboarding and continued education for team members.
Oversee and support accurate and timely processing of medical and dental claims, ensuring correct interpretation of benefit and policy provisions.
Assist with claim review and research to determine coverage based on contract terms, provider status, and processing guidelines.
Investigate and resolve claims adjudication issues, including disputes, and coordinate with appropriate departments to support grievance and appeal processes.
Respond to inquiries received by mail or email, and prepare clear, professional business correspondence and reports.
Communicate updates to claims-related processes and procedures to ensure team alignment and timely adoption.
Participate in interoffice committees and leadership peer groups to promote cross-functional collaboration and process efficiency.
Coordinate with other departments to support business activities and maintain effective partnerships.
Ensure compliance with HIPAA regulations and PacificSource privacy policies regarding the confidentiality and security of protected health information.
Support process improvement initiatives using lean methodologies and contribute to interdepartmental efforts to enhance workflows.
Use visual boards and daily huddles to monitor key performance indicators and identify opportunities for improvement.
Actively contribute to department meetings and strategic committees to share insights and represent company values.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum of 4 years of claims experience, or related experience in insurance or healthcare industry required. Minimum of 1 year of supervisory experience required.
Education, Certificates, Licenses: Requires high school diploma or equivalent.
Knowledge: Ability to gain a thorough understanding of PacificSource products, plan designs, provider relationships, and health insurance terminology. Basic working knowledge of Oregon Insurance Division rules and regulations. Thorough understanding of claims processing systems and operations. Advanced PC skills including Microsoft Word and Excel. Ability to type using a standard keyboard, operate a 10-key pad accurately, and use a multi-line telephone system and fax machine. Strong research skills and ability to evaluate claims for accurate auditing. Advanced knowledge of medical terminology and CPT / ICD-10 coding. Effective and responsive leadership skills. Ability to stay current with changes in PacificSource business processes and procedures and communicate updates to team members. Ability to work under time pressure and manage difficult situations. Collaborative team player with a strong work ethic and ability to work effectively with individuals at varying skill levels.
Competencies
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$106k-131k yearly est. Auto-Apply 8d ago
Quality Assurance Specialist, Designated Complaint Unit (Americas) - Hybrid
WSA Americas 3.8
Iselin, NJ jobs
Job Description
WSA is a global leader in the hearing aid industry. Together with our 12,000 colleagues in 130 countries, we invite you to help unlock human potential by bringing back hearing for millions of people around the world.
Our portfolio of technologies spans the full spectrum of hearing care, from distinct hearing brands and digital platforms to managed care, hearing centers and diagnostics locations.
Office location - Iselin, New Jersey (hybrid)
Base range - 70,000 - 90,000
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Serve as part of the America's DCU working in a Global and multicultural Team that ensures customer complaints are captured, assessed for reportability, processed and resolved in a timely manner as per applicable internal and regulatory requirements.
Perform initial screening of new complaints to determine potential reportability, investigator and appropriate investigation location. Process local device return logistics for complaint handling.
Perform follow-ups with investigators, LPOC's and other partners to ensure complaints are processed in a timely manner.
Continuously review complaint files to ensure documentation is aligned according to requirements (internal/external) and good documentation practices.
Perform final review of complaint files to ensure all activities were completed and documented accordingly.
Provide input on Global Projects and process improvements related to complaint handling.
Provide support for stakeholders and ensure that Global complaint process inspections and audits (internal and external) are effectively managed.
Serve as a contact person to local Customer Service, Affiliates and LPOC's to ensure all appropriate complaint information is received for day-to-day complaint handling.
Be available for early morning calls with global Team 1-2x per month.
REQUIREMENTS:
Bachelor's degree required
Experience or knowledge with Complaint Handling processes and associated standards and regulations (FDA, ISO 13485, CFR, GMP, etc.) preferred
Proficient with Microsoft Office tools (Excel, PowerPoint, Word).
Salesforce and/or Complaint Management System experience preferred
Possess leadership capabilities
Strong problem-solving and time management skills
Team player
Ability to work independently
The Company provides equal opportunity to all employees and prospective employees without regard to race, color, creed, religion, national origin, ancestry, sex, age, physical or mental disability, marital status, pregnancy, genetic information, sexual orientation, gender identity, protected veteran or military status, or any other consideration not related to the person's ability to do the job or otherwise made unlawful by federal, state, or local law.
$74k-110k yearly est. 22d ago
Quality Assurance Audit Team Lead
Pacificsource 3.9
Springfield, OR jobs
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Quality Assurance Audit Team Lead provides supervision, leadership, and guidance to Claims Analysts, Quality Assurance Audit Specialists, Reinsurance Business Analysts, and support staff, ensuring adherence to company policies, procedures, and workflows. This role is responsible for managing claims production and quality to meet or exceed company standards, resolving adjudication issues, and overseeing hiring, training, coaching, and performance evaluation. As a leader, the Team Lead fosters a collaborative and inclusive team culture, encourages innovation, and supports management change. They coach team members to improve individual performance, build strong team dynamics, and inspire commitment to shared goals and organizational vision.
Essential Responsibilities:
Supervise, coach, train, and evaluate assigned staff to ensure claims processing meets department and company standards.
Analyze performance data to identify individual and team training needs and support ongoing development.
Collaborate with the Training Coordinator to deliver effective onboarding and continued education for team members.
Oversee and support accurate and timely processing of medical and dental claims, ensuring correct interpretation of benefit and policy provisions.
Assist with claim review and research to determine coverage based on contract terms, provider status, and processing guidelines.
Investigate and resolve claims adjudication issues, including disputes, and coordinate with appropriate departments to support grievance and appeal processes.
Respond to inquiries received by mail or email, and prepare clear, professional business correspondence and reports.
Communicate updates to claims-related processes and procedures to ensure team alignment and timely adoption.
Participate in interoffice committees and leadership peer groups to promote cross-functional collaboration and process efficiency.
Coordinate with other departments to support business activities and maintain effective partnerships.
Ensure compliance with HIPAA regulations and PacificSource privacy policies regarding the confidentiality and security of protected health information.
Support process improvement initiatives using lean methodologies and contribute to interdepartmental efforts to enhance workflows.
Use visual boards and daily huddles to monitor key performance indicators and identify opportunities for improvement.
Actively contribute to department meetings and strategic committees to share insights and represent company values.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum of 4 years of claims experience, or related experience in insurance or healthcare industry required. Minimum of 1 year of supervisory experience required.
Education, Certificates, Licenses: Requires high school diploma or equivalent.
Knowledge: Ability to gain a thorough understanding of PacificSource products, plan designs, provider relationships, and health insurance terminology. Basic working knowledge of Oregon Insurance Division rules and regulations. Thorough understanding of claims processing systems and operations. Advanced PC skills including Microsoft Word and Excel. Ability to type using a standard keyboard, operate a 10-key pad accurately, and use a multi-line telephone system and fax machine. Strong research skills and ability to evaluate claims for accurate auditing. Advanced knowledge of medical terminology and CPT / ICD-10 coding. Effective and responsive leadership skills. Ability to stay current with changes in PacificSource business processes and procedures and communicate updates to team members. Ability to work under time pressure and manage difficult situations. Collaborative team player with a strong work ethic and ability to work effectively with individuals at varying skill levels.
Competencies
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$107k-132k yearly est. Auto-Apply 8d ago
Quality Assurance Audit Team Lead
Pacificsource 3.9
Helena, MT jobs
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Quality Assurance Audit Team Lead provides supervision, leadership, and guidance to Claims Analysts, Quality Assurance Audit Specialists, Reinsurance Business Analysts, and support staff, ensuring adherence to company policies, procedures, and workflows. This role is responsible for managing claims production and quality to meet or exceed company standards, resolving adjudication issues, and overseeing hiring, training, coaching, and performance evaluation. As a leader, the Team Lead fosters a collaborative and inclusive team culture, encourages innovation, and supports management change. They coach team members to improve individual performance, build strong team dynamics, and inspire commitment to shared goals and organizational vision.
Essential Responsibilities:
Supervise, coach, train, and evaluate assigned staff to ensure claims processing meets department and company standards.
Analyze performance data to identify individual and team training needs and support ongoing development.
Collaborate with the Training Coordinator to deliver effective onboarding and continued education for team members.
Oversee and support accurate and timely processing of medical and dental claims, ensuring correct interpretation of benefit and policy provisions.
Assist with claim review and research to determine coverage based on contract terms, provider status, and processing guidelines.
Investigate and resolve claims adjudication issues, including disputes, and coordinate with appropriate departments to support grievance and appeal processes.
Respond to inquiries received by mail or email, and prepare clear, professional business correspondence and reports.
Communicate updates to claims-related processes and procedures to ensure team alignment and timely adoption.
Participate in interoffice committees and leadership peer groups to promote cross-functional collaboration and process efficiency.
Coordinate with other departments to support business activities and maintain effective partnerships.
Ensure compliance with HIPAA regulations and PacificSource privacy policies regarding the confidentiality and security of protected health information.
Support process improvement initiatives using lean methodologies and contribute to interdepartmental efforts to enhance workflows.
Use visual boards and daily huddles to monitor key performance indicators and identify opportunities for improvement.
Actively contribute to department meetings and strategic committees to share insights and represent company values.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum of 4 years of claims experience, or related experience in insurance or healthcare industry required. Minimum of 1 year of supervisory experience required.
Education, Certificates, Licenses: Requires high school diploma or equivalent.
Knowledge: Ability to gain a thorough understanding of PacificSource products, plan designs, provider relationships, and health insurance terminology. Basic working knowledge of Oregon Insurance Division rules and regulations. Thorough understanding of claims processing systems and operations. Advanced PC skills including Microsoft Word and Excel. Ability to type using a standard keyboard, operate a 10-key pad accurately, and use a multi-line telephone system and fax machine. Strong research skills and ability to evaluate claims for accurate auditing. Advanced knowledge of medical terminology and CPT / ICD-10 coding. Effective and responsive leadership skills. Ability to stay current with changes in PacificSource business processes and procedures and communicate updates to team members. Ability to work under time pressure and manage difficult situations. Collaborative team player with a strong work ethic and ability to work effectively with individuals at varying skill levels.
Competencies
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$89k-109k yearly est. Auto-Apply 8d ago
Quality Assurance Audit Team Lead
Pacificsource 3.9
Boise, ID jobs
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Quality Assurance Audit Team Lead provides supervision, leadership, and guidance to Claims Analysts, Quality Assurance Audit Specialists, Reinsurance Business Analysts, and support staff, ensuring adherence to company policies, procedures, and workflows. This role is responsible for managing claims production and quality to meet or exceed company standards, resolving adjudication issues, and overseeing hiring, training, coaching, and performance evaluation. As a leader, the Team Lead fosters a collaborative and inclusive team culture, encourages innovation, and supports management change. They coach team members to improve individual performance, build strong team dynamics, and inspire commitment to shared goals and organizational vision.
Essential Responsibilities:
Supervise, coach, train, and evaluate assigned staff to ensure claims processing meets department and company standards.
Analyze performance data to identify individual and team training needs and support ongoing development.
Collaborate with the Training Coordinator to deliver effective onboarding and continued education for team members.
Oversee and support accurate and timely processing of medical and dental claims, ensuring correct interpretation of benefit and policy provisions.
Assist with claim review and research to determine coverage based on contract terms, provider status, and processing guidelines.
Investigate and resolve claims adjudication issues, including disputes, and coordinate with appropriate departments to support grievance and appeal processes.
Respond to inquiries received by mail or email, and prepare clear, professional business correspondence and reports.
Communicate updates to claims-related processes and procedures to ensure team alignment and timely adoption.
Participate in interoffice committees and leadership peer groups to promote cross-functional collaboration and process efficiency.
Coordinate with other departments to support business activities and maintain effective partnerships.
Ensure compliance with HIPAA regulations and PacificSource privacy policies regarding the confidentiality and security of protected health information.
Support process improvement initiatives using lean methodologies and contribute to interdepartmental efforts to enhance workflows.
Use visual boards and daily huddles to monitor key performance indicators and identify opportunities for improvement.
Actively contribute to department meetings and strategic committees to share insights and represent company values.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum of 4 years of claims experience, or related experience in insurance or healthcare industry required. Minimum of 1 year of supervisory experience required.
Education, Certificates, Licenses: Requires high school diploma or equivalent.
Knowledge: Ability to gain a thorough understanding of PacificSource products, plan designs, provider relationships, and health insurance terminology. Basic working knowledge of Oregon Insurance Division rules and regulations. Thorough understanding of claims processing systems and operations. Advanced PC skills including Microsoft Word and Excel. Ability to type using a standard keyboard, operate a 10-key pad accurately, and use a multi-line telephone system and fax machine. Strong research skills and ability to evaluate claims for accurate auditing. Advanced knowledge of medical terminology and CPT / ICD-10 coding. Effective and responsive leadership skills. Ability to stay current with changes in PacificSource business processes and procedures and communicate updates to team members. Ability to work under time pressure and manage difficult situations. Collaborative team player with a strong work ethic and ability to work effectively with individuals at varying skill levels.
Competencies
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$90k-112k yearly est. Auto-Apply 8d ago
Quality Assurance Specialist III - External Quality
Capsugel Holdings Us 4.6
Vacaville, CA jobs
Today, Lonza is a global leader in life sciences operating across five continents. While we work in science, there's no magic formula to how we do it. Our greatest scientific solution is talented people working together, devising ideas that help businesses to help people. In exchange, we let our people own their careers. Their ideas, big and small, genuinely improve the world. And that's the kind of work we want to be part of.
Join us at Lonza as the Quality Assurance Specialist III- External Quality in the dynamic field of Manufacturing. Located in the vibrant community of Vacaville, CA, USA, this role is integral to our mission to deliver world-class quality solutions. This position has been built to support our ongoing growth and dedication to outstanding customer service. You'll be part of an ambitious team crafted to improving lives and driving flawless operations!
Key responsibilities:
Assist and support customers with all quality-related issues, including tech transfer, lot disposition, process validation, routine production issues, deviations, and regulatory compliance.
Serve as a liaison to external customers for quality-related items such as change controls, deviations, investigations, CAPAs, Product Quality Reviews, and Quality Agreements.
Facilitate discussions between customers and internal groups such as Manufacturing, Engineering, MSAT, and QC.
Ensure customer feedback is addressed and necessary approvals are received.
Represent QA in internal and Joint Project Team (IPT/JPT) meetings, establish agendas, publish meeting minutes, and track action items.
Find opportunities for improvement in Lonza's quality systems and customer interactions, leading projects to successfully implement effective solutions.
Support and guide QA Project Managers and Compliance team members, potentially acting as a delegate for the department manager.
Work together with internal collaborators to achieve critical metrics.
Key requirements:
Bachelor's degree in Science or relevant field.
Proven experience in a GMP Environment within DS Biologics, Pharmaceuticals, or similar industries.
Strong quality decision-making and problem-solving skills, with the ability to operate with some mentorship.
Ability to successfully implement strategies for issue remediation.
Strong compliance experience is a plus.
We recognize that attracting, developing and retaining the best talent is key to our strategy and success as a company. As a result, we aim for flexibility in structuring competitive compensation offers to ensure that we are able to attract the best candidates. As required by law in this state, the quoted salary range for this position is $ 88,000 - $140,000. We use broad salary ranges that reflect the competitive market for similar jobs, provide sufficient opportunity for growth as you gain experience and expand responsibilities; while also allowing for differentiation on performance based on the breadth of our ranges, most new hires will start at the company between the lower and the middle part of the applicable range. We tailor our offers within the range based on job-related factors, including organizational needs, internal equity, market data, geographic area and the selected candidate's experience, education, industry knowledge, location, technical and/or communication skills and other factors that may prove relevant during the selection process. This range is only inclusive of base salary, and base pay is just one component of Lonza's total compensation package for employees. Full-time employees are eligible to receive a performance-related bonus, as well as a comprehensive benefits package including medical and dental coverage, 401k plan, life insurance, short-term and long-term disability insurance, an employee assistance program, paid time off (PTO), and more.
Every day, Lonza's products and services have a positive impact on millions of people. For us, this is not only a great privilege, but also a great responsibility. How we achieve our business results is just as important as the achievements themselves. At Lonza, we respect and protect our people and our environment. Any success we achieve is no success at all if not achieved ethically.
People come to Lonza for the challenge and creativity of solving complex problems and developing new ideas in life sciences. In return, we offer the satisfaction that comes with improving lives all around the world. The satisfaction that comes with making a meaningful difference.
Lonza is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a qualified individual with disability, protected veteran status, or any other characteristic protected by law.
$88k-140k yearly Auto-Apply 53d ago
Quality Assurance Lead - Personal Lines Underwriting
Tower Hill Insurance Group 4.7
Gainesville, FL jobs
Full-time Description
Candidates must reside within 50 miles of our Alachua/Gainesville office and be willing to work on-site.
Tower Hill Insurance Group has an exciting opportunity for a talented Quality Assurance Lead - Personal Lines Underwriting who enjoys intellectual challenges and is seeking a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names in homeowners insurance, but it offers great opportunities for career advancement and personal growth, along with very competitive benefits and rewards. We are growing at a consistent pace and seek professional individuals with drive, team mentality, who want to make an impact, and are committed to a long-term career in the insurance industry.
The Personal Lines Quality Assurance Lead works closely with Personal Lines Underwriting leadership and staff to provide quality assurance review of Personal Lines Underwriting handling task reviews and phone calls accordance with statutes, filed guidelines, philosophies and set forth by leadership and the company. By analyzing underwriting practices and outcomes, this position identifies areas for improvement and implements effective solutions to enhance operational efficiency and risk management. This role requires a combination of auditing, coaching, negotiation, and presentation skills to create a feedback loop to leadership on training and development opportunities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
· Coordinate and conduct monthly required quality assurance (QA) audits, along with ad hoc requests, to ensure compliance and process consistency.
· Analyze data to identify additional development and/or training opportunities.
· Identify and recommend individualized performance coaching opportunities.
· Present findings and QA trend analyses to Personal Lines Underwriting department through monthly performance review meetings, highlighting results of identified opportunities for improvement.
· Meet with and provide coaching to staff on QA results and agree topics.
· Maintain and report QA audit outcomes in a timely manner to meet SOC 1 compliance requirements.
· Develop and maintain any quality assurance or best practices training aids.
· Update underwriting materials as needed.
· Review level of authority workflows as needed.
· Participate in outside audits of Underwriting processes. (i.e. PWC, Forvis, Reinsurers)
ADDITIONAL DUTIES
This job description reflects the general duties considered necessary to describe the essential functions of the job and should not be considered a complete description of all the work requirements and expectations of the position. Tower Hill reserves the right to assign duties not listed herein as necessary to accomplish the goals of the organization.
Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION
Bachelor's Degree or higher required.
Equivalent experience may substitute for minimum educational requirements. Equivalent experience may include three (3) years of relevant work experience.
EXPERIENCE
Minimum of three (3) to five (5) years of relevant work experience preferred.
CERTIFICATIONS
N/A
LICENSES
N/A
BENEFITS
Medical
Dental
Vision
Life & Disability Insurance
401(k)
Health Savings Account
Accident, Critical Illness and Hospital Indemnity
Pet insurance
Paid time off & Holiday pay
We offer competitive pay and benefits, and well-being programs to support you and your family. For more information about our company, careers and Total Compensation visit: Total Compensation - Tower Hill Insurance (thig.com)
Tower Hill Insurance is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Tower Hill Insurance is committed to working with and providing reasonable accommodation for individuals with disabilities. If you need reasonable accommodation because of a disability for any part of the employment process, please send an e-mail to ********************* and let us know the nature of your request and your contact information.
All applicants will receive an acknowledgement that their application has been received. Candidates will not receive status updates regarding their application; however, those candidates selected for further consideration will be contacted by Human Resources.
$92k-110k yearly est. 50d ago
Quality Assurance Lead - Personal Lines Underwriting
Tower Hill Insurance Group, LLC 4.7
Gainesville, FL jobs
Candidates must reside within 50 miles of our Alachua/Gainesville office and be willing to work on-site. Tower Hill Insurance Group has an exciting opportunity for a talented Quality Assurance Lead - Personal Lines Underwriting who enjoys intellectual challenges and is seeking a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names in homeowners insurance, but it offers great opportunities for career advancement and personal growth, along with very competitive benefits and rewards. We are growing at a consistent pace and seek professional individuals with drive, team mentality, who want to make an impact, and are committed to a long-term career in the insurance industry.
The Personal Lines Quality Assurance Lead works closely with Personal Lines Underwriting leadership and staff to provide quality assurance review of Personal Lines Underwriting handling task reviews and phone calls accordance with statutes, filed guidelines, philosophies and set forth by leadership and the company. By analyzing underwriting practices and outcomes, this position identifies areas for improvement and implements effective solutions to enhance operational efficiency and risk management. This role requires a combination of auditing, coaching, negotiation, and presentation skills to create a feedback loop to leadership on training and development opportunities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
* Coordinate and conduct monthly required quality assurance (QA) audits, along with ad hoc requests, to ensure compliance and process consistency.
* Analyze data to identify additional development and/or training opportunities.
* Identify and recommend individualized performance coaching opportunities.
* Present findings and QA trend analyses to Personal Lines Underwriting department through monthly performance review meetings, highlighting results of identified opportunities for improvement.
* Meet with and provide coaching to staff on QA results and agree topics.
* Maintain and report QA audit outcomes in a timely manner to meet SOC 1 compliance requirements.
* Develop and maintain any quality assurance or best practices training aids.
* Update underwriting materials as needed.
* Review level of authority workflows as needed.
* Participate in outside audits of Underwriting processes. (i.e. PWC, Forvis, Reinsurers)
ADDITIONAL DUTIES
This job description reflects the general duties considered necessary to describe the essential functions of the job and should not be considered a complete description of all the work requirements and expectations of the position. Tower Hill reserves the right to assign duties not listed herein as necessary to accomplish the goals of the organization.
Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION
Bachelor's Degree or higher required.
Equivalent experience may substitute for minimum educational requirements. Equivalent experience may include three (3) years of relevant work experience.
EXPERIENCE
Minimum of three (3) to five (5) years of relevant work experience preferred.
CERTIFICATIONS
N/A
LICENSES
N/A
BENEFITS
* Medical
* Dental
* Vision
* Life & Disability Insurance
* 401(k)
* Health Savings Account
* Accident, Critical Illness and Hospital Indemnity
* Pet insurance
* Paid time off & Holiday pay
We offer competitive pay and benefits, and well-being programs to support you and your family. For more information about our company, careers and Total Compensation visit: Total Compensation - Tower Hill Insurance (thig.com)
Tower Hill Insurance is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Tower Hill Insurance is committed to working with and providing reasonable accommodation for individuals with disabilities. If you need reasonable accommodation because of a disability for any part of the employment process, please send an e-mail to ********************* and let us know the nature of your request and your contact information.
All applicants will receive an acknowledgement that their application has been received. Candidates will not receive status updates regarding their application; however, those candidates selected for further consideration will be contacted by Human Resources.
$92k-110k yearly est. 51d ago
Policy Assurance Specialist
Acrisure 4.4
Oak Ridge, TN jobs
Job Title: Policy Assurance Specialist Department: Unified Underwriting Support Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.
Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.
Job Summary:
Describe the position: We are looking for a detail-oriented and process-driven Policy Assurance Specialist to support underwriting operations by reviewing inspection reports, verifying policy data, and issuing policy documentation. This role is ideal for someone who thrives in a task-focused, collaborative environment and enjoys the critical behind-the-scenes work that ensures policy accuracy and compliance.
This is an exciting opportunity for professionals who are highly organized, customer-service focused, and looking to grow in the insurance industry.
Responsibilities:
* Review Property/ Workers Compensation inspections and surveys for completeness and accuracy compared to rated/ issued policies.
* Review policy bind requests for completeness, accuracy and qualification by insurance carrier partners.
* Issuance of endorsements and cancellation notices.
* Inbound and outbound phone calls with agency partners.
* Maintain updated and accurate documentation at policy and client level.
* Develop and maintain a knowledge base of evolving state, product and company offerings and appetites.
* Provide exemplary customer service at each interaction.
Requirements:
* Must be proficient with Microsoft Office
* Must be highly organized, detail oriented and have excellent time management skills.
* Must have strong written and verbal communication skills.
* Have a "can do" attitude and be very task driven.
* Ability and desire to work in a team environment.
Education/Experience:
* Associates degree preferred. High School diploma or GED required.
* Property/ Casualty license preferred.
Benefits & Perks:
* Competitive Compensation
* Industry Leading Healthcare
* Savings and Investments
* Charitable Giving Programs
* Offering hybrid work option
* Opportunities for Growth
* Parental Leave
* Generous time away
Acrisure is committed to making an impact in our communities by giving back, with millions committed to children's health with Helen Devos Children's Hospital and UPMC Children's Hospital of Pittsburgh.
Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at *************************************
To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure's property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure's Human Resources Talent Department.
$43k-71k yearly est. Auto-Apply 60d+ ago
Quality Assurance Coordinator
Delta Dental of Washington 4.7
Spokane, WA jobs
Do you have an eye for detail and a passion for ensuring our customers have the best experience possible? If so...this role is for you! Our Quality Assurance Coordinators develop and maintain a system to assure that all claims, calls, texts and online communication, Group Administration tasks, and Provider Services tasks are handled by Delta Dental of Washington consistently and meet the company's established standards, the customer's specifications, and achieves outstanding quality and reliability levels. This role will work closely with our Operations Managers, Supervisors, and our Training team.
At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do - for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity.
We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities.
The pay range for this position In Western Washington varies between $40,905.00 - $55,298.00, and for Eastern Washington varies between $40,560.00 - $54,416.00. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location.
Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice.
Evaluate claim quality for Operations. Maintain audit performance statistics and error trends.
Review our Service Specialists and Support Team inbound calls to offer feedback based on ability to provide exceptional customer service focused on the customer experience, employee experience, ability to display empathy and build a connection with our customer and provide valuable information while strengthening our brand.
Review and evaluate online communication via text, chat and/or email to ensure that exceptional written communication is provided to our customers.
Review and evaluate daily Group Administration transactions for retro adjustments, new groups, data entry transactions, and specific document processes.
Review and evaluate PSR updates including, address changes, TIN changes, and EFT adjustments associated with TIN adjustments, network adds, credentialing and recredentialing.
Partner and collaborate monthly with Operations Training Dept. to review performance and potential areas for associate development.
Maintain current knowledge base of these consistently changing entities: Dental on Demand system enhancements and modifications, procedural documentation, contract terms, federal and state regulations, Delta Dental Plans Association policies and procedures and any other information pertaining to accuracy.
Maintain open communication between Quality Management and Operations Leadership and staff, building open lines of communication to strengthen the team's relationship with all groups.
The experience, skills, and education needed to succeed in the position are outlined below. These requirements are representative of the knowledge, skills, and abilities required to successfully perform the essential functions of the role.
One year call center, claims processing, Provider Services and/or Group Administration experience required.
Effective communication skills (both written and oral)
Proven skills in working independently and as part of a team, while using discretion in decision making and good judgment in problem solving
Proficient PC skills, experience with Excel and Access
A high degree of impartiality and confidentiality when reviewing work to insure objective reporting
A strong desire to perform well and continue to learn
High School diploma or equivalent required.
Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
We are committed to the highest standards of information security and HIPAA compliance, ensuring the confidentiality, integrity, and protection of all data. All staff are expected to support this commitment by following relevant policies.
$40.9k-55.3k yearly 13d ago
Quality Assurance Coordinator
Delta Dental Washington Dental Service 4.9
Spokane, WA jobs
Do you have an eye for detail and a passion for ensuring our customers have the best experience possible? If so...this role is for you! Our Quality Assurance Coordinators develop and maintain a system to assure that all claims, calls, texts and online communication, Group Administration tasks, and Provider Services tasks are handled by Delta Dental of Washington consistently and meet the company's established standards, the customer's specifications, and achieves outstanding quality and reliability levels. This role will work closely with our Operations Managers, Supervisors, and our Training team.
At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do - for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity.
We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities.
The pay range for this position In Western Washington varies between $40,905.00 - $55,298.00, and for Eastern Washington varies between $40,560.00 - $54,416.00. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location.
Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice.
* Evaluate claim quality for Operations. Maintain audit performance statistics and error trends.
* Review our Service Specialists and Support Team inbound calls to offer feedback based on ability to provide exceptional customer service focused on the customer experience, employee experience, ability to display empathy and build a connection with our customer and provide valuable information while strengthening our brand.
* Review and evaluate online communication via text, chat and/or email to ensure that exceptional written communication is provided to our customers.
* Review and evaluate daily Group Administration transactions for retro adjustments, new groups, data entry transactions, and specific document processes.
* Review and evaluate PSR updates including, address changes, TIN changes, and EFT adjustments associated with TIN adjustments, network adds, credentialing and recredentialing.
* Partner and collaborate monthly with Operations Training Dept. to review performance and potential areas for associate development.
* Maintain current knowledge base of these consistently changing entities: Dental on Demand system enhancements and modifications, procedural documentation, contract terms, federal and state regulations, Delta Dental Plans Association policies and procedures and any other information pertaining to accuracy.
* Maintain open communication between Quality Management and Operations Leadership and staff, building open lines of communication to strengthen the team's relationship with all groups.
The experience, skills, and education needed to succeed in the position are outlined below. These requirements are representative of the knowledge, skills, and abilities required to successfully perform the essential functions of the role.
* One year call center, claims processing, Provider Services and/or Group Administration experience required.
* Effective communication skills (both written and oral)
* Proven skills in working independently and as part of a team, while using discretion in decision making and good judgment in problem solving
* Proficient PC skills, experience with Excel and Access
* A high degree of impartiality and confidentiality when reviewing work to insure objective reporting
* A strong desire to perform well and continue to learn
* High School diploma or equivalent required.
Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
We are committed to the highest standards of information security and HIPAA compliance, ensuring the confidentiality, integrity, and protection of all data. All staff are expected to support this commitment by following relevant policies.
$40.9k-55.3k yearly 13d ago
Quality Assurance & Training Specialist Business Insurance
Marsh McLennan 4.9
Maryville, TN jobs
Company:Marsh McLennan AgencyDescription:
Quality Assurance & Training Specialist Business Insurance
Our not-so-secret sauce.
Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as a Quality Assurance & Training Specialist at MMA.
Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC).
A day in the life.
As our Quality Assurance & Training Specialist on the Business Insurance team, you'll serve as a consultant, educator, and facilitator focused on agency management systems and workflow development. You'll lead efforts to optimize people, processes, and technology resources to enhance client service, financial performance, and risk management. Your role includes auditing policies and procedures, communicating audit results, developing workflows, coordinating training programs, and maintaining training materials and quality assurance documentation.
Our future colleague.
We'd love to meet you if your professional track record includes these skills:
High school diploma or GED required; Bachelor's degree or similar work experience preferred
Strong knowledge of insurance industry practices and agency operations
Ability to read and interpret documents such as renewal applications and procedures manuals
Excellent communication skills to engage with managers, clients, and colleagues professionally
Ability to apply technical knowledge with minimal guidance and handle multiple priorities in a fast-paced environment
Detail oriented with a strong focus on accuracy
Strong organizational skills and ability to meet deadlines consistently
Proficient with Microsoft Word, Excel, Outlook, and PowerPoint, including advanced functions like Vlookup, Macros, and Pivot tables
Experience with industry-specific software (EPIC) preferred
These additional qualifications are a plus, but not required to apply:
Experience in quality assurance or training roles within insurance or related industries
Ability to advocate for change and promote adoption effectively
We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you.
Valuable benefits.
We value and respect the impact our colleagues make every day both inside and outside of work. Our culture promotes colleague well-being through robust benefits programs and resources, professional and personal development opportunities, and fulfillment through meaningful work.
Some benefits included in this role are:
Generous time off, including personal and volunteering
Tuition reimbursement and professional development opportunities
Hybrid work
Charitable contribution match programs
Stock purchase opportunities
To learn more about a career at MMA, check out our website or flip through our recruiting brochure.
Follow us on social media to meet our colleagues and see what makes us tick:
Instagram
Facebook
X
LinkedIn
Who
you
are is who
we
are.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.
Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
#MMAUMW
#LI-Hybrid
$53k-85k yearly est. Auto-Apply 6d ago
Sr Quality Assurance Consultant
Aegon 4.4
Cedar Rapids, IA jobs
Job Family Customer & Business Quality Assurance About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests.
Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there.
Who We Are
We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life.
Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them.
We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms.
What We Do
Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs.
Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com.
Summary
Lead the development and execution of complex quality assurance programs that support operational performance and risk mitigation. Collaborate with business leaders to implement innovative solutions, monitor contractual agreements, and drive operational excellence through strategic initiatives and data-driven insights.
Responsibilities
* Generate innovative solutions through focus groups, collaboration, and data analysis that positively impact business performance.
* Recommend strategic improvements by leveraging deep knowledge of quality assurance best practices, policies, and procedures to mitigate risk and enhance the customer experience.
* Independently lead or support large, long-term strategic projects across cross-functional teams, including compliance and audit initiatives.
* Perform quality assurance and quality-on-quality reviews for complex business processes to ensure compliance with state and federal regulations, Sarbanes-Oxley (SOX), System and Organization Controls 1 (SOC 1), and internal quality standards.
* Develop and present robust reporting to inform leadership of gaps and trends, driving measurable business outcomes.
* Establish, execute, and monitor corrective action plans to address service level agreement gaps and ensure compliance.
* Identify and implement new processes that challenge convention and improve customer and employee experiences.
* Support leadership in onboarding and mentoring newly hired quality assurance staff.
* May assist in refining reporting tools and adapting to evolving quality requirements.
Qualifications
* Bachelor's degree in business, finance, or a related field, or equivalent work experience
* Five years of experience in quality assurance or business operations roles related to quality
* Experience in leading complex projects and developing strategic solutions
* Ability to collaborate cross-functionally and influence business outcomes
* Strong communication, organization, and analytical skills
* Proficient in Microsoft Word, Excel, and other Microsoft Office tools
Preferred Qualifications
* Experience in employee benefits or group insurance industry
* Experience in quality assurance roles with a focus on root-cause analysis
* Experience in developing and implementing quality assurance programs
* Experience utilizing and implementing Lean Six Sigma methodologies
* Experience in data analysis
* Experience in project management or leading complex process improvement initiatives
* Management experience
Working Conditions
* Hybrid
Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated based on what a successful candidate might be paid in certain Company locations.
Compensation:
The salary for this position generally ranges between $75,000-$90,000. This range is an estimate, based on potential employee qualifications, operational needs and other considerations permitted by law. The range may vary above and below the stated amounts, as permitted by Colorado Equal Pay Transparency Rule 4.1.2.
Bonus Eligibility:
This position is also typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at Company Discretion.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.
What We Offer
For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees.
Compensation Benefits
* Competitive Pay
* Bonus for Eligible Employees
Benefits Package
* Pension Plan
* 401k Match
* Employee Stock Purchase Plan
* Tuition Reimbursement
* Disability Insurance
* Medical Insurance
* Dental Insurance
* Vision Insurance
* Employee Discounts
* Career Training & Development Opportunities
Health and Work/Life Balance Benefits
* Paid Time Off starting at 160 hours annually for employees in their first year of service.
* Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays).
* Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
* Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child.
* Adoption Assistance
* Employee Assistance Program
* Back-Up Care Program
* PTO for Volunteer Hours
* Employee Matching Gifts Program
* Employee Resource Groups
* Inclusion and Diversity Programs
* Employee Recognition Program
* Referral Bonus Programs
Inclusion & Diversity
We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women.
To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all.
Giving Back
We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work.
Transamerica's Parent Company
Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity.
* As of December 31, 2023
$75k-90k yearly Auto-Apply 13d ago
Sr Quality Assurance Consultant
Aegon 4.4
Denver, CO jobs
Job Family Customer & Business Quality Assurance About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests.
Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there.
Who We Are
We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life.
Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them.
We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms.
What We Do
Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs.
Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com.
Summary
Lead the development and execution of complex quality assurance programs that support operational performance and risk mitigation. Collaborate with business leaders to implement innovative solutions, monitor contractual agreements, and drive operational excellence through strategic initiatives and data-driven insights.
Responsibilities
* Generate innovative solutions through focus groups, collaboration, and data analysis that positively impact business performance.
* Recommend strategic improvements by leveraging deep knowledge of quality assurance best practices, policies, and procedures to mitigate risk and enhance the customer experience.
* Independently lead or support large, long-term strategic projects across cross-functional teams, including compliance and audit initiatives.
* Perform quality assurance and quality-on-quality reviews for complex business processes to ensure compliance with state and federal regulations, Sarbanes-Oxley (SOX), System and Organization Controls 1 (SOC 1), and internal quality standards.
* Develop and present robust reporting to inform leadership of gaps and trends, driving measurable business outcomes.
* Establish, execute, and monitor corrective action plans to address service level agreement gaps and ensure compliance.
* Identify and implement new processes that challenge convention and improve customer and employee experiences.
* Support leadership in onboarding and mentoring newly hired quality assurance staff.
* May assist in refining reporting tools and adapting to evolving quality requirements.
Qualifications
* Bachelor's degree in business, finance, or a related field, or equivalent work experience
* Five years of experience in quality assurance or business operations roles related to quality
* Experience in leading complex projects and developing strategic solutions
* Ability to collaborate cross-functionally and influence business outcomes
* Strong communication, organization, and analytical skills
* Proficient in Microsoft Word, Excel, and other Microsoft Office tools
Preferred Qualifications
* Experience in employee benefits or group insurance industry
* Experience in quality assurance roles with a focus on root-cause analysis
* Experience in developing and implementing quality assurance programs
* Experience utilizing and implementing Lean Six Sigma methodologies
* Experience in data analysis
* Experience in project management or leading complex process improvement initiatives
* Management experience
Working Conditions
* Hybrid
Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated based on what a successful candidate might be paid in certain Company locations.
Compensation:
The salary for this position generally ranges between $75,000-$90,000. This range is an estimate, based on potential employee qualifications, operational needs and other considerations permitted by law. The range may vary above and below the stated amounts, as permitted by Colorado Equal Pay Transparency Rule 4.1.2.
Bonus Eligibility:
This position is also typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at Company Discretion.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.
What We Offer
For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees.
Compensation Benefits
* Competitive Pay
* Bonus for Eligible Employees
Benefits Package
* Pension Plan
* 401k Match
* Employee Stock Purchase Plan
* Tuition Reimbursement
* Disability Insurance
* Medical Insurance
* Dental Insurance
* Vision Insurance
* Employee Discounts
* Career Training & Development Opportunities
Health and Work/Life Balance Benefits
* Paid Time Off starting at 160 hours annually for employees in their first year of service.
* Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays).
* Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
* Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child.
* Adoption Assistance
* Employee Assistance Program
* Back-Up Care Program
* PTO for Volunteer Hours
* Employee Matching Gifts Program
* Employee Resource Groups
* Inclusion and Diversity Programs
* Employee Recognition Program
* Referral Bonus Programs
Inclusion & Diversity
We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women.
To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all.
Giving Back
We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work.
Transamerica's Parent Company
Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity.
* As of December 31, 2023
$75k-90k yearly Auto-Apply 13d ago
Software Quality Assurance Specialist
Cottingham & Butler 4.4
Dubuque, IA jobs
Job Description
Are you passionate about ensuring software quality and delivering an exceptional end-user experience? We are looking for a dedicated Software Quality Assurance (SQA) Specialist to join our team. In this role, you will monitor, analyze, and test software during development to ensure quality, security, and accuracy. Your efforts will be crucial in releasing products that meet the highest standards.
Key Responsibilities:
Create and execute test plans for new and existing software.
Ensure software functions properly on web, iOS, and Android platforms.
Communicate issues and bugs to project and development teams.
Generate and run automated and manual tests.
Oversee product inspection and testing for quality and conformance.
Demonstrate optimal user experience for new functionalities.
Perform regression and production testing.
Qualifications:
Familiarity with bug tracking, ticketing, and testing.
Analytical and creative thinking skills.
Understanding of agile/scrum methodology.
Knowledge of quality assurance terminology, methods, and tools.
Proficiency in best practices for testing, version control, and defect management.
Strong problem-solving skills and a passion for innovation.
Ability to work independently and as part of a team.
Bachelor's degree in Computer Science or a related field, or equivalent relevant experience.
About Cottingham & Butlers Wellness Division:
HealthCheck360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.
We sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on ********************** | LinkedIn | Facebook
$45k-64k yearly est. 30d ago
Software Quality Assurance Specialist
Cottingham & Butler 4.4
Dubuque, IA jobs
Are you passionate about ensuring software quality and delivering an exceptional end-user experience? We are looking for a dedicated Software Quality Assurance (SQA) Specialist to join our team. In this role, you will monitor, analyze, and test software during development to ensure quality, security, and accuracy. Your efforts will be crucial in releasing products that meet the highest standards.
Key Responsibilities:
Create and execute test plans for new and existing software.
Ensure software functions properly on web, iOS, and Android platforms.
Communicate issues and bugs to project and development teams.
Generate and run automated and manual tests.
Oversee product inspection and testing for quality and conformance.
Demonstrate optimal user experience for new functionalities.
Perform regression and production testing.
Qualifications:
Familiarity with bug tracking, ticketing, and testing.
Analytical and creative thinking skills.
Understanding of agile/scrum methodology.
Knowledge of quality assurance terminology, methods, and tools.
Proficiency in best practices for testing, version control, and defect management.
Strong problem-solving skills and a passion for innovation.
Ability to work independently and as part of a team.
Bachelor's degree in Computer Science or a related field, or equivalent relevant experience.
About Cottingham & Butlers Wellness Division:
HealthCheck360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.
We sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on ********************** | LinkedIn | Facebook
$45k-64k yearly est. Auto-Apply 15d ago
Sr Quality Assurance Consultant
Aegon 4.4
Baltimore, MD jobs
Job Family Customer & Business Quality Assurance About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests.
Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there.
Who We Are
We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life.
Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them.
We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms.
What We Do
Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs.
Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com.
Summary
Lead the development and execution of complex quality assurance programs that support operational performance and risk mitigation. Collaborate with business leaders to implement innovative solutions, monitor contractual agreements, and drive operational excellence through strategic initiatives and data-driven insights.
Responsibilities
* Generate innovative solutions through focus groups, collaboration, and data analysis that positively impact business performance.
* Recommend strategic improvements by leveraging deep knowledge of quality assurance best practices, policies, and procedures to mitigate risk and enhance the customer experience.
* Independently lead or support large, long-term strategic projects across cross-functional teams, including compliance and audit initiatives.
* Perform quality assurance and quality-on-quality reviews for complex business processes to ensure compliance with state and federal regulations, Sarbanes-Oxley (SOX), System and Organization Controls 1 (SOC 1), and internal quality standards.
* Develop and present robust reporting to inform leadership of gaps and trends, driving measurable business outcomes.
* Establish, execute, and monitor corrective action plans to address service level agreement gaps and ensure compliance.
* Identify and implement new processes that challenge convention and improve customer and employee experiences.
* Support leadership in onboarding and mentoring newly hired quality assurance staff.
* May assist in refining reporting tools and adapting to evolving quality requirements.
Qualifications
* Bachelor's degree in business, finance, or a related field, or equivalent work experience
* Five years of experience in quality assurance or business operations roles related to quality
* Experience in leading complex projects and developing strategic solutions
* Ability to collaborate cross-functionally and influence business outcomes
* Strong communication, organization, and analytical skills
* Proficient in Microsoft Word, Excel, and other Microsoft Office tools
Preferred Qualifications
* Experience in employee benefits or group insurance industry
* Experience in quality assurance roles with a focus on root-cause analysis
* Experience in developing and implementing quality assurance programs
* Experience utilizing and implementing Lean Six Sigma methodologies
* Experience in data analysis
* Experience in project management or leading complex process improvement initiatives
* Management experience
Working Conditions
* Hybrid
Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated based on what a successful candidate might be paid in certain Company locations.
Compensation:
The salary for this position generally ranges between $75,000-$90,000. This range is an estimate, based on potential employee qualifications, operational needs and other considerations permitted by law. The range may vary above and below the stated amounts, as permitted by Colorado Equal Pay Transparency Rule 4.1.2.
Bonus Eligibility:
This position is also typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at Company Discretion.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.
What We Offer
For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees.
Compensation Benefits
* Competitive Pay
* Bonus for Eligible Employees
Benefits Package
* Pension Plan
* 401k Match
* Employee Stock Purchase Plan
* Tuition Reimbursement
* Disability Insurance
* Medical Insurance
* Dental Insurance
* Vision Insurance
* Employee Discounts
* Career Training & Development Opportunities
Health and Work/Life Balance Benefits
* Paid Time Off starting at 160 hours annually for employees in their first year of service.
* Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays).
* Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
* Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child.
* Adoption Assistance
* Employee Assistance Program
* Back-Up Care Program
* PTO for Volunteer Hours
* Employee Matching Gifts Program
* Employee Resource Groups
* Inclusion and Diversity Programs
* Employee Recognition Program
* Referral Bonus Programs
Inclusion & Diversity
We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women.
To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all.
Giving Back
We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work.
Transamerica's Parent Company
Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity.
* As of December 31, 2023
$75k-90k yearly Auto-Apply 13d ago
Sr Quality Assurance Consultant
Aegon 4.4
Philadelphia, PA jobs
Job Family Customer & Business Quality Assurance About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests.
Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there.
Who We Are
We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life.
Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them.
We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms.
What We Do
Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs.
Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com.
Summary
Lead the development and execution of complex quality assurance programs that support operational performance and risk mitigation. Collaborate with business leaders to implement innovative solutions, monitor contractual agreements, and drive operational excellence through strategic initiatives and data-driven insights.
Responsibilities
* Generate innovative solutions through focus groups, collaboration, and data analysis that positively impact business performance.
* Recommend strategic improvements by leveraging deep knowledge of quality assurance best practices, policies, and procedures to mitigate risk and enhance the customer experience.
* Independently lead or support large, long-term strategic projects across cross-functional teams, including compliance and audit initiatives.
* Perform quality assurance and quality-on-quality reviews for complex business processes to ensure compliance with state and federal regulations, Sarbanes-Oxley (SOX), System and Organization Controls 1 (SOC 1), and internal quality standards.
* Develop and present robust reporting to inform leadership of gaps and trends, driving measurable business outcomes.
* Establish, execute, and monitor corrective action plans to address service level agreement gaps and ensure compliance.
* Identify and implement new processes that challenge convention and improve customer and employee experiences.
* Support leadership in onboarding and mentoring newly hired quality assurance staff.
* May assist in refining reporting tools and adapting to evolving quality requirements.
Qualifications
* Bachelor's degree in business, finance, or a related field, or equivalent work experience
* Five years of experience in quality assurance or business operations roles related to quality
* Experience in leading complex projects and developing strategic solutions
* Ability to collaborate cross-functionally and influence business outcomes
* Strong communication, organization, and analytical skills
* Proficient in Microsoft Word, Excel, and other Microsoft Office tools
Preferred Qualifications
* Experience in employee benefits or group insurance industry
* Experience in quality assurance roles with a focus on root-cause analysis
* Experience in developing and implementing quality assurance programs
* Experience utilizing and implementing Lean Six Sigma methodologies
* Experience in data analysis
* Experience in project management or leading complex process improvement initiatives
* Management experience
Working Conditions
* Hybrid
Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated based on what a successful candidate might be paid in certain Company locations.
Compensation:
The salary for this position generally ranges between $75,000-$90,000. This range is an estimate, based on potential employee qualifications, operational needs and other considerations permitted by law. The range may vary above and below the stated amounts, as permitted by Colorado Equal Pay Transparency Rule 4.1.2.
Bonus Eligibility:
This position is also typically eligible for an Annual Bonus based on the Company Bonus Plan/Individual Performance and is at Company Discretion.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.
What We Offer
For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees.
Compensation Benefits
* Competitive Pay
* Bonus for Eligible Employees
Benefits Package
* Pension Plan
* 401k Match
* Employee Stock Purchase Plan
* Tuition Reimbursement
* Disability Insurance
* Medical Insurance
* Dental Insurance
* Vision Insurance
* Employee Discounts
* Career Training & Development Opportunities
Health and Work/Life Balance Benefits
* Paid Time Off starting at 160 hours annually for employees in their first year of service.
* Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays).
* Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
* Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child.
* Adoption Assistance
* Employee Assistance Program
* Back-Up Care Program
* PTO for Volunteer Hours
* Employee Matching Gifts Program
* Employee Resource Groups
* Inclusion and Diversity Programs
* Employee Recognition Program
* Referral Bonus Programs
Inclusion & Diversity
We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women.
To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all.
Giving Back
We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work.
Transamerica's Parent Company
Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity.
* As of December 31, 2023
$75k-90k yearly Auto-Apply 13d ago
Quality Assurance Coordinator
Delta Dental Washington Dental Service 4.9
Colville, WA jobs
Do you have an eye for detail and a passion for ensuring our customers have the best experience possible? If so...this role is for you! Our Quality Assurance Coordinators develop and maintain a system to assure that all claims, calls, texts and online communication, Group Administration tasks, and Provider Services tasks are handled by Delta Dental of Washington consistently and meet the company's established standards, the customer's specifications, and achieves outstanding quality and reliability levels. This role will work closely with our Operations Managers, Supervisors, and our Training team.
At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do - for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity.
We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities.
The pay range for this position In Western Washington varies between $40,905.00 - $55,298.00, and for Eastern Washington varies between $40,560.00 - $54,416.00. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location.
Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza reserve the right to change the responsibilities at any time with or without notice.
* Evaluate claim quality for Operations. Maintain audit performance statistics and error trends.
* Review our Service Specialists and Support Team inbound calls to offer feedback based on ability to provide exceptional customer service focused on the customer experience, employee experience, ability to display empathy and build a connection with our customer and provide valuable information while strengthening our brand.
* Review and evaluate online communication via text, chat and/or email to ensure that exceptional written communication is provided to our customers.
* Review and evaluate daily Group Administration transactions for retro adjustments, new groups, data entry transactions, and specific document processes.
* Review and evaluate PSR updates including, address changes, TIN changes, and EFT adjustments associated with TIN adjustments, network adds, credentialing and recredentialing.
* Partner and collaborate monthly with Operations Training Dept. to review performance and potential areas for associate development.
* Maintain current knowledge base of these consistently changing entities: Dental on Demand system enhancements and modifications, procedural documentation, contract terms, federal and state regulations, Delta Dental Plans Association policies and procedures and any other information pertaining to accuracy.
* Maintain open communication between Quality Management and Operations Leadership and staff, building open lines of communication to strengthen the team's relationship with all groups.
The experience, skills, and education needed to succeed in the position are outlined below. These requirements are representative of the knowledge, skills, and abilities required to successfully perform the essential functions of the role.
* One year call center, claims processing, Provider Services and/or Group Administration experience required.
* Effective communication skills (both written and oral)
* Proven skills in working independently and as part of a team, while using discretion in decision making and good judgment in problem solving
* Proficient PC skills, experience with Excel and Access
* A high degree of impartiality and confidentiality when reviewing work to insure objective reporting
* A strong desire to perform well and continue to learn
* High School diploma or equivalent required.
Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
We are committed to the highest standards of information security and HIPAA compliance, ensuring the confidentiality, integrity, and protection of all data. All staff are expected to support this commitment by following relevant policies.