Quality Assurance Supervisor (Disability Claims)

Sutherland

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profile Job Location:

Taguig - Philippines

profile Monthly Salary: Not Disclosed
Posted on: 4 hours ago
Vacancies: 1 Vacancy

Job Summary

Qualifications

TECHNICAL / PROFESSIONAL SKILL SET REQUIRED

  • Background in healthcare specifically in Disability Claims.

  • Has people management experience.

  • Good knowledge of Quality metrics their measurements and thresholds / targets.

  • Knowledge and clear understanding of critical and non-critical errors in the transactions.

  • Good in investigative and business writing skills.

  • Good at creating reports using various tools and applications.

  • Being able to perform risk analysis to the satisfaction of the stakeholders or departments.

  • Basic exposure to statistical tools and approaches trend analysis & cause analysis

  • Working knowledge of MS Office (Word Excel & PowerPoint).


Qualifications :

KEY ROLES AND RESPONSIBILITIES

  • Prepare weekly Sampling Plan and share with the QA team.

  • Ensure that all types of transactions are monitored in the programs assigned

  • Ensure that all the three types of audits are done as recommended by COPC - Live Recorded and Side-by-Side

  • Ensure Sampling Adherence is met MIPs are implemented if required.

  • Track if the QAs are providing appropriate feedback basis the call audits to improve consultants ability to perform better.

  • Keep checking the QAs accuracy by doing ATA and Calibration.

  • Prepare and share Gage R&R report.

  • Be a consultant and advisor to the QAs to clarify on parameters during need.

  • Conduct frequent QA reviews and provide inputs to QA on the areas to be focused

  • Facilitate QAs to conduct NH trainings during Nesting.

  • Analyze monitoring data to identify program level issues and opportunities

  • Communicate the insights and analysis regularly to different teams like Service Delivery Training etc.


Additional Information :

All your information will be kept confidential according to EEO guidelines.


Remote Work :

No


Employment Type :

Full-time

QualificationsTECHNICAL / PROFESSIONAL SKILL SET REQUIREDBackground in healthcare specifically in Disability Claims.Has people management experience.Good knowledge of Quality metrics their measurements and thresholds / targets.Knowledge and clear understanding of critical and non-critical errors in ...
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About Company

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Sutherland is seeking an organized and reliable person to join us as Admin Specialist. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you ... View more

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