Senior QA & Process Improvement Auditor

Southcarolinablues; Florence (SC); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Subsidized health plans

401k retirement savings plan with公司

Life Insurance

Paid Time Off

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

Discounts

Job summary

BlueCross BlueShield of South Carolina in Florence, SC is seeking a Quality Control Auditor to evaluate the accuracy and effectiveness of departmental operations, including claims, member services, and call center workflows. This full-time, on-site role requires attention to detail and strong analytical skills.

You will perform audits, document findings, and recommend improvements to training and processes, helping implement corrective actions.

Qualifications

• High School Diploma or equivalent required.
• 1 year of related claims processing, customer service, auditing, training, analysis or operations experience.
• 2 years of experience performing quality audits.

Responsibilities

• Conducts focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are followed.
• Documents findings and prepares recommendations for implementation of new systems, procedures, or organizational changes to reduce errors.
• Identifies areas of weakness and communicates recommendations on changes and improvements to training materials.
• Provides feedback to management on errors detected and ensures errors are resolved.
• Develops and implements a quality control and improvement program based on targets identified through quality reviews.
• Monitors and evaluates the implementation of corrective action plans.
• Compiles data, provides feedback, and generates reports for operations/training areas on quality performance.
• Train new employees and stay current with guideline changes and work instructions.
• Writes or assists in writing desk procedures and training materials for departments.

Skills

Analytical skills

Presentation skills

Customer service

Organization

Business math

Written communication

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina in Florence, SC is seeking a Quality Control Auditor to evaluate the accuracy and effectiveness of departmental operations, including claims, member services, and call center workflows. This full-time, on-site role requires attention to detail and strong analytical skills.

You will perform audits, document findings, and recommend improvements to training and processes, helping implement corrective actions.