Hybrid Quality & Process Improvement Specialist

Renaissance Life & Health Insurance Company of America; Indianapolis (IN); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Renaissance Benefits in Indianapolis, IN, is seeking a QC Specialist, Operations to identify, analyze, and recommend process improvements that raise quality and efficiency.

You will audit claims processing, group implementations, eligibility, and data entry, and you will compile and analyze data to ensure compliance with standards.

Collaborate with trainers, supervisors, and management on trends from the quality monitoring process, develop action plans, and maintain related documents.

Qualifications

• Associate degree required with 3 years in a claims processing environment.
• Knowledge of dental terminology, procedures, and insurance products.
• Strong verbal and written communication and organizational skills.

Responsibilities

• Audits claims processing, group implementations, eligibility, and data entry; compiles analytics to support quality standards.
• Identifies and analyzes process improvements to boost efficiency and quality; assists with inventory reports.
• Partners with trainers, supervisors, and management on trends from quality monitoring to address issues requiring coaching.
• Develops and controls quality control programs and action plans; maintains related documentation.
• Recognizes development needs and assists with training programs.
• Verifies that department documentation is current and aligns with quality guidelines.

Skills

Process improvement

Data analysis

Audit QC

Data reporting

Communication

Collaboration

Education

Associate degree

Tools

Word processing

Spreadsheets

Job description

Renaissance Benefits in Indianapolis, IN, is seeking a QC Specialist, Operations to identify, analyze, and recommend process improvements that raise quality and efficiency.

You will audit claims processing, group implementations, eligibility, and data entry, and you will compile and analyze data to ensure compliance with standards.

Collaborate with trainers, supervisors, and management on trends from the quality monitoring process, develop action plans, and maintain related documents.