UHSM Health Share · 3 weeks ago
Quality Assurance & Compliance Specialist
Orange, CA
Full-time
Onsite
Entry Level
1+ years expUnite Health Share Ministries (UHSM) is a nonprofit, faith-based health sharing ministry that facilitates member-to-member health sharing among fellow Christians. The Quality Assurance & Compliance Specialist will evaluate the performance of customer care professionals by conducting quality assurance checks and managing new business applications to ensure adherence to quality and compliance standards.
Health CareMedicalNon Profit
Responsibilities
Process new business and applications, including detailed eligibility reviews, fulfillment of pending requirements, client notices (e.g., Age Out, Declines), application completion, etc
Review, assess, and audit phone calls, emails, and chats with members
Handle operational tasks, including cancellations, program changes, self-enrollments, retention saves, healthy discount , etc
Provide actionable feedback departmentally to ensure excellence across all support functions
Report any violations found during audits and providing constructive feedback to drive improvements while ensuring it has been resolved effectively
Generate comprehensive daily, weekly, and monthly reports reflecting support performance and outcomes
Identify training needs based on performance evaluations and collaborate with manager to discuss feedback/plan for improvements
Conduct outbound calls to members as needed
Qualification
Required
High School Diploma / GED (or higher)
At least 1 year of relevant experience
Exceptional ability to spot discrepancies and review information meticulously
Strong interpersonal skills with the ability to deliver constructive feedback effectively and conduct outbound calls professionally
Proficiency in Microsoft Office Suite
Preferred
Experience in the insurance industry
Previous experience as a Customer Service Representative
Benefits
Health
Dental
Vision
403(b)
Company
UHSM Health Share
Welcome to UHSM (Unite Health Share Ministries™) - Your Path to Holistic Wellness. At UHSM, we're on a mission to bring wellness within reach.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase