QC Specialist Operations

Renaissance Life; Indianapolis (IN); Hybrid; USD 52,000 - 72,000; Full time

Job summary

Renaissance Benefits in Indianapolis, IN, seeks a QC Specialist, Operations to audit and improve claims processing, eligibility, and data entry functions. You will analyze data to ensure quality and performance standards, prepare productivity and quality reports, and drive process enhancements across teams.

The role requires three years in a claims environment, an associate degree or higher, and strong communication skills.

Qualifications

• Associate's degree or equivalent required.
• Three years' work experience in a claims processing environment.
• Knowledge of dental terminology and insurance products.
• Ability to identify weaknesses in processes and effect improvements.
• Strong verbal and written communication skills and organizational ability.

Responsibilities

• Audit claims processing, group implementations, and eligibility.
• Develop, prepare, maintain, and distribute productivity and quality reports.
• Identify and recommend process improvements to enhance efficiency and quality.
• Assist with inventory reporting and tracking.
• Collaborate with trainers and managers to address trends and coaching needs.

Skills

Analytical thinking

Verbal and written communication

Team collaboration

Attention to detail

Education

Associate's degree

Coursework in business administration

Tools

Word processing

Spreadsheets

Job description

Job Title:QC Specialist OperationsNumber of Positions:1Location:Indianapolis, INLocation Specifics:Hybrid PositionJob Summary:Renaissance Benefits is hiring for a QC Specialist, Operations!At Renaissance, the QC Specialist, Operations identifies, analyzes, and recommends process improvements that will result in increased quality and efficiency.Audits claims processing, group implementations, eligibility, and various data entry functions and compiles and analyzes data to determine compliance with quality, production, and performance standards. Develops, prepares, maintains, and distributes reports for productivity and quality control.Identifies, analyzes, and recommends process and/or operational improvements to enhance efficiency, quality, and operational effectiveness. Assists management staff with report of inventory.Partners with trainer, supervisors, and management on trends identified through the quality monitoring process including customer service issues, processing, and data errors that require coaching and advanced training of staff.Recommends, develops, and controls quality control production, programs and procedures and initiates and facilitates the development of action plans to address deficiencies identified in the audit process, as well as monitor and maintain the related documents.Recognizes and communicates development needs of employees and assists with training programs.Verifies that department documentation is current and supports quality guidelines.Minimum Requirements:Position requires an associate's degree, technical, vocational, or business school with coursework in business administration and three years' work experience in a claims processing environment. Will accept any suitable combination of education, training, or experience.Position requires knowledge of dental terminology, procedures, insurance products, and claims processing; advanced knowledge of word processing and spreadsheets; ability to identify weaknesses in process changes that may affect quality; resolves complex problems and uses latitude for independent judgment; effective verbal and written communication skills and organizational skills; ability to collaborate effectively; ability to handle multiple projects and deadlines; recommends improvements to increase quality and efficiency.The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.