Quality Control Specialist

Our client is seeking a diligent and detail-oriented Quality Control Specialist to oversee the quality of service within Operations. This role is crucial in implementing controls to improve service levels, with a focus on maintaining high standards in claims processing and operational efficiency.

Key Responsibilities:

• Oversee internal controls and review all types of claims to ensure accuracy and compliance.
• Assist in maintaining a Transactional NPS process and work towards improving the overall NPS score across all operational areas.
• Implement and monitor anti-fraud measures both internally and externally.
• Support in reporting on Operations functions for Corporate.
• Collaborate with the Processes team to enhance procedures and automate workflows.
• Track and oversee provider performance to ensure compliance with KPIs.
• Provide assistance to the cost control department with claims payments and parts ordering functions when required.

Experience and Education:

• Previous experience in processing insurance claims.
• Familiarity with insurance policy coverage and regulations.
• Strong attention to detail and accuracy in claims documentation.
• Analytical skills to assess processes and identify areas for improvement.

Benefits:

• Flexible working hours.
• On-site gym.
• Birthday leave.
• Health and life insurance.
• Canteen and transport allowance.
• Extended maternity/paternity leave.
• Support for returning mothers.
• Sick leave for children.
• Pension plan incentive after 2 years of service.
• Active aging incentive.
• Study and exam leave.
• Sports and cultural leave.
• Training sponsorship.
• On-site canteen.

This position offers a great opportunity to contribute to operational excellence and quality control while working in a dynamic and supportive environment. Join our clients team and make a difference in the quality of service delivered.