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BlueCross BlueShield of South Carolina · 18 hours ago

Quality Assurance Analyst

Florence, SC

Full-time

Onsite

Entry Level

1+ years exp

BlueCross BlueShield of South Carolina is seeking a Quality Assurance Analyst to perform quality control audits and monitoring of departmental operations. The role involves identifying problems, analyzing causes, and making recommendations for improvements to ensure quality standards are met.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical

No H1B

Security Clearance Required

U.S. Citizen Only

Responsibilities

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

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

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

Assists with training documentation and development of new processes and procedures

Remains current with all guidelines, work instructions, etc

Qualification

Quality auditsClaims processingCustomer serviceMicrosoft OfficeAnalytical skillsBusiness math proficiencyOrganization skillsWritten communicationVerbal communication

Required

High School Diploma OR equivalent

One (1) year of related claims processing, customer service, auditing, training, analysis, or operations experience

Microsoft Office

Good analytical, customer service, and organization skills

Basic business math proficiency

Able to document problems and assist in their resolution

Able to document processes and identify areas for improvement

Effective written and verbal communication skills

Strong business math proficiency

Strong written and verbal communication skills

Preferred

1 year-of experience in a healthcare or insurance industry

Benefits

401(k) retirement savings plan with company match

Subsidized health plans and free vision coverage

Life insurance

Paid annual leave – the longer you work here, the more you earn

Nine paid holidays

On-site cafeterias and fitness centers in major locations

Wellness programs and healthy lifestyle premium discount

Tuition assistance

Service recognition

Incentive Plan

Merit Plan

Continuing education funds for additional certifications and certification renewal

Company

BlueCross BlueShield of South Carolina

Glassdoor3.6

For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.

Founded in 1946

Columbia, South Carolina, USA

10001+ employees