Claims Quality Assurance Specialist

3 weeks ago


Montreal, Quebec, Canada Definity Financial Full time
Job Description

The Specialist, National Claims Quality Assurance will lead the implementation and execution of a technical file review program within the claims area of the business, covering multiple regions and jurisdictions.

Key Responsibilities
  • Develop and execute a technical file review program to ensure claims quality and compliance.
  • Lead a team of quality assurance specialists to review and analyze claims data.
  • Collaborate with cross-functional teams to identify and implement process improvements.
  • Develop and maintain quality metrics and reporting to track program effectiveness.
Requirements
  • Strong understanding of claims processing and quality assurance principles.
  • Excellent leadership and communication skills.
  • Ability to analyze complex data and identify trends.
  • Experience with quality assurance software and tools.


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