Quality Analyst
2 weeks ago
Key Responsibilities:
- Review and verify customer request approvals made by contact center agents to ensure they align with internal policies and healthcare protocols.
- Validate Excess of Benefits (EOB) cases and ensure proper documentation and resolution are reflected in each transaction.
- Monitor and evaluate agent interactions (calls, emails, chat, etc.) using standardized scorecards and quality metrics to ensure compliance, accuracy, and customer satisfaction.
- Conduct weekly one-on-one quality coaching sessions with agents to provide performance feedback, reinforce strengths, and identify areas for improvement.
- Coordinate and lead regular calibration sessions with team leaders and trainers to align on quality standards, scoring criteria, and compliance expectations.
- Generate and present quality performance reports, trend analyses, and QA dashboards to the Operations Head/Project Manager, identifying risks, process gaps, and improvement opportunities.
- Work closely with operations, training, and compliance teams to support continuous quality improvement and ensure best practices are implemented.
Qualifications:
- Bachelor's degree in Nursing, Healthcare Administration, Business, or related field preferred
- At least 1-2 years of experience in a contact center QA role, preferably in the local healthcare industry
- Strong understanding of healthcare processes, benefits validation, and regulatory compliance
- Excellent communication, coaching, and analytical skills
- Proficient in QA tools, reporting platforms (e.g., Excel, Google Sheets), and CRM/ticketing systems
- Detail-oriented and organized with the ability to manage multiple tasks in a fast-paced environment
Job Type: Full-time
Application Question(s):
- Experienced in healthcare account?
- How much is your expected salary?
Work Location: In person
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