- High School Diploma or equivalent
- 1 year of related claims processing, customer service, auditing, training, analysis, or operations experience.
- Under direct supervision, performs quality control audits, reviews, or monitoring of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc.
- Identifies problems, analyzes cause and effect, and makes recommendations for improvements.
- 50% Performs routine quality audits, reviews, or monitoring across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
- Recognizes and documents any potential fraud and abuse situations.
- May provide one on one guidance to new hires upon completion of initial training.
- 20% Provides necessary feedback or coaching to operations and training areas on errors assessed so that additional training can be initiated as needed.
- Compiles data and generates reports for operations areas on quality performance.
- 20% Identifies areas of weakness and communicates recommendations on changes and improvements to training materials
- Documents findings of analysis and prepares recommendations for implementation of new systems, procedures or organizational changes.
- 10% Assists with training documentation and development of new processes and procedures.
- Remains current with all guidelines, work instructions, etc.
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Quality Assurance
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Talent Software Services Columbia, United StatesDaily Duties / Responsibilities: · Responsible for performing tests on technical solutions to isolate and solve issues. Initiates tests, analyzes results, and finds solutions to technical problems. · • Develop test plans, QA and/or User Acceptance Testing processes and test cases ...
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PT Quality Assurance Associate
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Food Lion Columbia, United StatesAddress: USA-SC-Columbia-6021 Saint Andrews Road · Store Code: Store 02849 Grocery · Food Lion has been providing an easy, fresh and affordable shopping experience to the communities we serve since 1957. Today, our 82,000 associates serve more than 10 million customers a week a ...
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Clinical Services Bureau Director
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Associate Medical Director
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Charge Nurse
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QA Tester/ Test Engineer
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Certified MC Med Tech
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Mental Health Professional I #145
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Registered nurse
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MRI Tech I PRN
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RN Hospice
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Mental Health Professional II #084
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Customer Service Representative
4 days ago
TEKsystems Columbia, SC, United StatesTEK system is hiring for a Customer Service Representative to work with an insurance company in Cayce, South Caroline · Pay: $18/hr · Schedule: Monday - Friday 8:00am-5:00pm · Location: ONSITE · Description: · Our Customer Service Representatives provide high quality customer ...
Analyst, Quality Assurance - Columbia, United States - Experis
Description
Title: Customer Service RepresentativeLocation: Columbia SC (Onsite)
Duration: 3 months
Pay rate: $15/hr (On W2)
We are looking for a " Customer Service Representative "to join one of our Fortune 500 clients.
Education &Qualifications:
If you're interested, please click "Apply" button.
If you are not available or this job is not a good fit at present, please share the job details with your friends/colleagues and let me know if anyone is interested