Senior Claims Quality Assurance Specialist

1 day ago
Winnipeg MB, Winnipeg Census Division, MB; Manitoba, Canada Minnesota Direct Care and Treatment Full-time
Quality assurance specialists in St. Paul can support Paid Leave claims accuracy, compliance, and adjudication quality with telework eligibility available. This full-time State of Minnesota position focuses on reviewing claim files, identifying discrepancies, and improving service quality.
As a Senior State Program Administrator, you will support the claims adjudication team within the Department of Employment and Economic Development. You will evaluate claims, monitor trends, recommend corrective actions, and partner with adjudicators, supervisors, and program leaders. The work supports fair, timely outcomes for applicants.

Key Responsibilities

Evaluate claim files for accuracy, consistency, and complianceIdentify errors, discrepancies, and workflow improvement opportunitiesRecommend corrective actions and process improvementsMonitor trends and provide feedback to stakeholdersSupport claims processing under applicable policies and lawsRequirements:
Two years' claims, appeals, case management, or contact center experienceOne year conducting quality control or assurance activitiesExperience auditing work for accuracy and program complianceStrong written and verbal communication skillsExperience compiling and analyzing data for trendsApply quality assurance, claims review, communication, and data analysis skills to strengthen Minnesota Paid Leave determinations.
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