Quality Assurance Specialist

TEKsystems; Minneapolis (MN); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking Health Insurance Quality Assurance Specialists for a fully remote position. This role involves quality testing of benefit plans and requires high attention to detail. You will work closely with the Account Install Specialist team to ensure compliance with client specifications. Ideal candidates will have a degree in a relevant field and at least 1 year of Excel experience. The company offers competitive pay and a range of benefits, making this an exciting opportunity for those looking to make an impact in the healthcare insurance sector.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with Pre-tax and Roth Options

Life Insurance

Short and Long-term Disability

HSA

Transportation Benefits

Employee Assistance Program

Paid Time Off (PTO)

Qualifications

• Degree in Math, Biology, Business, Healthcare Administration, or History preferred.
• 1 year of Excel experience required.

Responsibilities

• Quality testing of benefit plans ensuring compliance with client specifications.
• Collaborate with the Account Install Specialist team during plan development.

Skills

Excel

Attention to Detail

Medical Terminology

Healthcare Insurance Knowledge

Education

Two or Four-Year Degree

Research Experience

Job description

*TEKsystems is actively hiring for Health Insurance Quality Assurance Specialists for a renowned health insurance company in Minnesota! Fully Remote Non-IT Position

Start Date: June 9th, 2025

Description

This role involves quality testing of benefit plans. The specialist will collaborate with the Account Install Specialist team during plan development. They will verify the accuracy of the plans within various systems, ensuring compliance with client specifications. If discrepancies such as incorrect deductibles, out-of-pocket limits, or mail pricing are found, they will coordinate with their AIS counterparts to resolve issues. The role demands high attention to detail, involves no phone work, and includes internal communication. A scorecard will be provided post-training, with an expectation to process 25 plans weekly. This is a non-IT position.

Skills & Qualifications

Minimum requirements:

• Two or four-year degree (preferably in Math, Biology, Business, Healthcare Administration, or History; extensive research experience is a plus)
• At least 1 year of Excel experience (excluding VLOOKUPs and Pivot Tables)

Preferred experience:

• 3+ years in healthcare insurance
• Knowledge of medical terminology, deductibles, copays, and provider language
• Experience in a production environment

Pay and Benefits

The pay rate is $24.00/hr. Eligibility for benefits depends on employment status and duration, and benefits may change. Potential benefits include:

• Medical, dental, and vision insurance
• Critical Illness, Accident, and Hospital coverage
• 401(k) with pre-tax and Roth options
• Life Insurance (Voluntary Life & AD&D)
• Short and long-term disability
• HSA
• Transportation benefits
• Employee Assistance Program
• Paid Time Off (PTO, Vacation, Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

The position closes on May 9, 2025.

About TEKsystems

TEKsystems is a leading provider of business and technology services, helping clients accelerate transformation through strategy, design, and operations. With 80,000 employees serving over 6,000 clients worldwide, including 80% of the Fortune 500, we focus on delivering business value and positive community impact. TEKsystems and TEKsystems Global Services are part of Allegis Group. Learn more at TEKsystems.com.

The company is an equal opportunity employer, considering all applications regardless of race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, or genetic information.