QA Specialist

7 days ago

Taguig, National Capital Region, Philippines WHR Global Consulting Full time ₱900,000 - ₱1,200,000 per year

Position Title
: Quality Assurance Auditor

Location
: Alabang, Muntinlupa City

Setup
: Onsite

Schedule
: Rotating Shift

Qualifications:

  • Bachelor's degree in any 4-year course
  • Proven experience in Quality Assurance, preferably within the US Insurance or Health Care industry
  • 2 to 3 years of hands-on QA experience is preferred
  • Advanced proficiency in Microsoft Excel, including reporting, dashboard creation, and data management
  • Strong verbal and written communication skills

Job Description:

Under the supervision of the Operations Supervisor, the Quality Assurance Auditor is responsible for ensuring the accuracy and integrity of client-facing documents by thoroughly reviewing Excel-based proposals and their source materials for errors or discrepancies that could lead to financial exposure. This role requires a strong understanding of employee benefits across medical and ancillary lines, as well as the ability to interpret Carrier Renewals, Quotes, Summary of Benefits and Coverage (SBCs), and benefit summaries.

Responsibilities

  • Review client-facing and internal documents (renewals, quotes, presentations) for accuracy and consistency.
  • Verify and correct benefits, census data, and rates to prevent financial or reputational risks.
  • Ensure alignment of documents with carrier information and company standards.
  • Interpret and validate benefit summaries across medical, dental, vision, life, disability, and ancillary products.
  • Collaborate with internal teams to resolve benefit inconsistencies.
  • Prepare and manage broker compensation disclosure forms in D365, ensuring regulatory compliance.
  • Convert Excel proposals to PDF, deliver to clients via email, and upload to the Simple Booklet system.
  • Adhere to company policies on quality, security, safety, environment, and data privacy.
  • Address audit findings, corrective actions, and report security incidents promptly.
  • Perform other assigned duties.

  • PHRN QA Specialist

    7 days ago

    Taguig, National Capital Region, Philippines Shearwater Health Full time ₱900,000 - ₱1,200,000 per year

    Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersPhysical Sites: Taguig, Cebu, and PampangaOur Clinicians & Associates advocates for better patient care while enjoying these benefits:Work from HomeHMO on Day 1 with 2 Dependents upon regularizationGroup Life InsuranceHighly Competitive...

  • QA Specialist

    7 days ago

    Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    About the role Access Healthcare Services Manila, Inc. is seeking a dedicated QA Specialist to join our healthcare BPO team in Taguig City, Metro Manila. In this full-time position, you will be responsible for ensuring the highest quality of our customer service and support operations, playing a crucial role in upholding our commitment to excellence.What...

  • PHRN QA

    7 days ago

    Taguig, National Capital Region, Philippines AGS health Full time ₱120,000 - ₱180,000 per year

    Job Title: Quality Auditor - Clinical Authorization SpecialistLocation: Robinsons Cyber Sigma Building, McKinley TaguigQualifications:• Must hold an active PHRN license (not a USRN license holder)• Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in...

  • Manual QA Specialist- Metro Manila

    5 days ago

    Taguig, National Capital Region, Philippines Tech Firefly Full time

    Tech Firefly is excited to announce a job opening for a Manual QA Specialist in Metro Manila, Philippines. Join our team and work with a company that offers exceptional growth opportunities and a dynamic work environment.In this role, you will be responsible for conducting manual testing of various software applications. Your primary focus will be on...

  • PHRN Clinical Authorization Specialist-BLENDED

    7 days ago

    Taguig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱53,000 per year

    We Are Hiring: Clinical Authorization Specialists (Surgery, Pharmacy, Oncology) - BLENDED ACCOUNT Taguig | Night Shift | Onsite | Up to 53K Package | Start ASAP - September 22Open Roles:Clinical Authorization SpecialistClinical Authorization Specialist (Pharmacy)Clinical Authorization (Surgery & Oncology)QA – Clinical Authorization (Surgery &...

  • Inpatient Coder

    2 weeks ago

    Taguig, National Capital Region, Philippines CPS Asia Pacific Full time ₱900,000 - ₱1,140,000 per year

    We're Hiring: Inpatient Coder - Quality Assurance Specialist (PRN + IP)Join the growing healthcare team and play a key role in ensuring coding accuracy and compliance across inpatient medical records.Position: Inpatient Coder - Quality Assurance SpecialistSetup: (TWFH)Type: Non-Voice | PRN + IPSalary Range: PHP 75,000 – 95,000 (depending on IP QA...

  • Campaign Operations Specialist

    1 week ago

    Taguig, National Capital Region, Philippines Thrive Technologies Inc. Full time ₱1,614,400 - ₱8,280,000 per year

    This is an on-site position at Ground Floor Shop 1 Robinsons Cyber Sigma, Lawton Avenue, Taguig City.IMPORTANT NOTE:Copy and Paste the Link below in the browser to generate the application form:How to Apply:Copy and Paste the Link below in the browser to generate the application form:Rate: $7/hr and earn up to PHP 69,000+/monthSchedule: Monday - Friday: 9:00...

  • Training and Quality Specialist

    2 weeks ago

    Taguig, National Capital Region, Philippines DME Service Solutions Full time ₱800,000 - ₱1,200,000 per year

    About DME:We are DME, a healthcare BPO leader delivering customized, HIPAA-compliant workforce solutions that enhance productivity and customer experiences. Driven by our core values, we help companies across industries understand customer needs and develop innovative solutions. Our mission is to enhance our clients' brand value through positive customer...

  • Marketing Specialist

    5 days ago

    Taguig, National Capital Region, Philippines HelloConnect, Inc. Full time ₱900,000 - ₱1,200,000 per year

    About UsHelloConnectHelloConnect is a subsidiary of HelloFresh, founded to address years of challenges faced in its own customer care. Leveraging our extensive experience in developing customer care tailored to the immediate needs of HelloFresh, our solutions are hyper-focused on serving high-growth companies. Located in Manila, Philippines, we are now...

  • Quality Assurance Specialist

    7 days ago

    Taguig, National Capital Region, Philippines Atlassian Full time ₱1,200,000 - ₱2,400,000 per year

    OverviewWorking at AtlassianAtlassians can choose where they work – whether in an office, from home, or a combination of the two. That way, Atlassians have more control over supporting their family, personal goals, and other priorities. We can hire people in any country where we have a legal entity. Interviews and onboarding are conducted virtually, a part...