Quality Assurance Analyst - Claims & Operations

BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Subsidized health plans

Dental & Vision coverage

401k with company match

Life Insurance

Paid Time Off

On-site cafeterias & fitness centers

Education Assistance

Service Recognition

National discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a Quality Control Auditor to monitor and improve our claims, customer service, and operations processes in Columbia. Under supervision, you will perform audits, identify issues, and prepare recommendations.

Requires a High School Diploma and at least 1 year of related experience; proficiency with Microsoft Office; strong analytical and communication skills. This is a full-time role in an office setting with a 40-hour work week.

Qualifications

• Requires High School Diploma or equivalent.
• At least 1 year of related claims processing, customer service, auditing, training, analysis, or operations experience.
• Strong analytical and written/verbal communication skills.

Responsibilities

• Performs routine quality audits, reviews, or monitoring to ensure compliance with quality standards and procedures.
• Documents issues and recommends improvements to training materials and processes.
• Generates reports on quality performance for operations.
• Assists with training documentation and development of new processes.
• Keeps current with guidelines and work instructions.

Skills

Analytical skills

Customer service

Organization

Verbal communication

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a Quality Control Auditor to monitor and improve our claims, customer service, and operations processes in Columbia. Under supervision, you will perform audits, identify issues, and prepare recommendations.

Requires a High School Diploma and at least 1 year of related experience; proficiency with Microsoft Office; strong analytical and communication skills. This is a full-time role in an office setting with a 40-hour work week.