Quality Analyst
Concord, NC · Remote
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Quality Analyst Education: High School Graduate is required Experience: Min 1-2 years of experience ...
Concord, NC · Remote
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Quality Analyst Education: High School Graduate is required Experience: Min 1-2 years of experience ...
Concord, NC · Remote
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Quality Analyst Education: High School Graduate is required Experience: Min 1-2 years of experience ...
Westfield, IN · Remote
$20 - $24.50/hr
Come join our amazing team and work remote from home! The Default Claims Quality Assurance ("QA") Analyst is responsible for review and reconciliation of all default claims (i.e. Mortgage Insurance ...
Westfield, IN · Remote
$20 - $24.50/hr
Come join our amazing team and work remote from home! The Default Claims Quality Assurance ("QA") Analyst is responsible for review and reconciliation of all default claims (i.e. Mortgage Insurance ...
Plano, TX · On-site +1
... quality scores above 98.5% PA and 99.75% FA. • Timely response and resolution of claims received ... analysis and problem-solving abilities • Time management with the ability to cope in a complex ...
Plano, TX · On-site +1
... quality scores above 98.5% PA and 99.75% FA. • Timely response and resolution of claims received ... analysis and problem-solving abilities • Time management with the ability to cope in a complex ...
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Quality Analyst Education: High School Graduate is required Experience: Min 1-2 years of experience ...
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... Quality Analyst Education: High School Graduate is required Experience: Min 1-2 years of experience ...
Burlington, MA · On-site +1
... remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims ... Develop complex SQL queries for data analysis, defect investigation, and quality reporting.
Burlington, MA · On-site +1
... remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims ... Develop complex SQL queries for data analysis, defect investigation, and quality reporting.
Burlington, MA · On-site +1
... remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims ... Develop complex SQL queries for data analysis, defect investigation, and quality reporting.
Burlington, MA · On-site +1
... remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims ... Develop complex SQL queries for data analysis, defect investigation, and quality reporting.
Remote. Please note: We have sites in Halifax, Leeds and South Wales - frequent travel to these ... Deliver effective, efficient site work validated by accompanied visit and quality assessment ...
Remote. Please note: We have sites in Halifax, Leeds and South Wales - frequent travel to these ... Deliver effective, efficient site work validated by accompanied visit and quality assessment ...
Plano, TX · On-site +1
... quality scores above 98.5% PA and 99.75% FA. • Timely response and resolution of claims received ... analysis and problem-solving abilities • Time management with the ability to cope in a complex ...
Plano, TX · On-site +1
... quality scores above 98.5% PA and 99.75% FA. • Timely response and resolution of claims received ... analysis and problem-solving abilities • Time management with the ability to cope in a complex ...
Plano, TX · On-site +1
... quality scores above 98.5% PA and 99.75% FA. Timely response and resolution of claims received via ... analysis and problem-solving abilities Time management with the ability to cope in a complex ...
Plano, TX · On-site +1
... quality scores above 98.5% PA and 99.75% FA. Timely response and resolution of claims received via ... analysis and problem-solving abilities Time management with the ability to cope in a complex ...
Whippany, NJ · On-site +1
Data Quality Analyst Location: Remote project Duration: 6-12 months Required: * Hands on experience with testing in ETL and Data warehouse. * Hands on with ETL tools like DBT. * Strong SQL skills and ...
Whippany, NJ · On-site +1
Data Quality Analyst Location: Remote project Duration: 6-12 months Required: * Hands on experience with testing in ETL and Data warehouse. * Hands on with ETL tools like DBT. * Strong SQL skills and ...
$22.45 - $37.69/hr
Overview The Quality Assurance Claims Specialist reviews FHA, VA, USDA, and supplemental claims ... The position also supports process improvement by analyzing error trends, collaborating with ...
$22.45 - $37.69/hr
Overview The Quality Assurance Claims Specialist reviews FHA, VA, USDA, and supplemental claims ... The position also supports process improvement by analyzing error trends, collaborating with ...
Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ... We process over 200,000 insurance claims annually for leading national and regional Workers ...
Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ... We process over 200,000 insurance claims annually for leading national and regional Workers ...
Plano, TX · On-site +1
... quality scores above 98.5% PA and 99.75% FA. Timely response and resolution of claims received via ... analysis and problem-solving abilities Time management with the ability to cope in a complex ...
Plano, TX · On-site +1
... quality scores above 98.5% PA and 99.75% FA. Timely response and resolution of claims received via ... analysis and problem-solving abilities Time management with the ability to cope in a complex ...
Buffalo, NY · Remote
$55K - $60K/yr
... quality reporting and trending analysis utilizing QA tools. * Responsible to communicate ... All other applicants will be considered for remote positions. Centivo Values: * Resilient - This is ...
Quick apply
Buffalo, NY · Remote
$55K - $60K/yr
... quality reporting and trending analysis utilizing QA tools. * Responsible to communicate ... All other applicants will be considered for remote positions. Centivo Values: * Resilient - This is ...
$20.73/hr
Remote Pay Rate: $20.73/hr. bilingual Job Type: Full-time Temporary Schedule: 40 hour work week ... Conducts audits of the production activities of assigned group, e.g., proof payment claims, credit ...
$20.73/hr
Remote Pay Rate: $20.73/hr. bilingual Job Type: Full-time Temporary Schedule: 40 hour work week ... Conducts audits of the production activities of assigned group, e.g., proof payment claims, credit ...
$20.73/hr
Remote Pay Rate: $20.73/hr. bilingual Job Type: Full-time Temporary Schedule: 40 hour work week ... Conducts audits of the production activities of assigned group, e.g., proof payment claims, credit ...
$20.73/hr
Remote Pay Rate: $20.73/hr. bilingual Job Type: Full-time Temporary Schedule: 40 hour work week ... Conducts audits of the production activities of assigned group, e.g., proof payment claims, credit ...
Long Beach, CA · Remote
$71K - $103K/yr
Familiarity with claims, encounter, and EMR data. * Experience supporting provider engagement or ... Remote * An annual employee bonus program * Robust Wellness Program * Generous paid-time-off (PTO ...
Long Beach, CA · Remote
$71K - $103K/yr
Familiarity with claims, encounter, and EMR data. * Experience supporting provider engagement or ... Remote * An annual employee bonus program * Robust Wellness Program * Generous paid-time-off (PTO ...
Madison, WI · Remote
$66K - $83K/yr
As a Senior Quality Analyst , you'll play a critical role in protecting operational excellence ... Extensive experience with complex claims processing and auditing * Strong understanding of medical ...
Madison, WI · Remote
$66K - $83K/yr
As a Senior Quality Analyst , you'll play a critical role in protecting operational excellence ... Extensive experience with complex claims processing and auditing * Strong understanding of medical ...
... Claims process in case of back office) Mandatory Skills: * Must be good in coaching skills (for ... Completes Quality Control Reports as assigned on a daily basis, makes corrections to CRS when ...
... Claims process in case of back office) Mandatory Skills: * Must be good in coaching skills (for ... Completes Quality Control Reports as assigned on a daily basis, makes corrections to CRS when ...
Madison, WI · Remote
$66K - $83K/yr
As a Senior Quality Analyst , you'll play a critical role in protecting operational excellence ... Extensive experience with complex claims processing and auditing * Strong understanding of medical ...
Madison, WI · Remote
$66K - $83K/yr
As a Senior Quality Analyst , you'll play a critical role in protecting operational excellence ... Extensive experience with complex claims processing and auditing * Strong understanding of medical ...
$14.66 - $18.05
14% of jobs
$20.07 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.44
19% of jobs
The median wage is $23.67 / hr.
$21.44 - $24.83
26% of jobs
$24.83 - $28.21
9% of jobs
$29.98 is the 75th percentile. Wages above this are outliers.
$28.21 - $31.60
13% of jobs
$31.60 - $34.99
11% of jobs
$34.99 - $38.37
2% of jobs
$38.37 - $41.76
2% of jobs
$41.76 - $45.15
1% of jobs
$45.15 - $48.54
2% of jobs
$48.54 - $51.92
1% of jobs
$14
$27
$51
| Aspect | Remote Claims Quality Analyst | Remote Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; certifications like CPC or CCA | High school diploma or equivalent; certifications like CPC or CCA |
| Work Environment | Remote, quality assurance focus, reviewing claims for accuracy | Remote, processing and reviewing insurance claims |
| Industry Usage | Used across insurance companies for quality control | Used across insurance companies for claims processing |
| Common Search/Comparison | Yes | Yes |
The Remote Claims Quality Analyst primarily focuses on reviewing and ensuring the accuracy of insurance claims, emphasizing quality control. In contrast, the Remote Claims Examiner processes and evaluates claims for approval or denial. Both roles often require similar certifications and work in remote insurance environments, but their core responsibilities differ—quality assurance versus claims processing.

4.6
Based on 29 frontline employees who took The Breakroom Quiz
61st of 71 rated call and contact centers
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Job Description:
Education:
High School Graduate is required
Experience:
Min 1-2 years of experience in a call center managing the inbound calls (same experience needed in Claims process in case of back office)
Mandatory Skills:
Must be good in coaching skills (for coaching the CSR based on their call quality)
Must be proficient in typing speed
Excellent written and verbal communication skills
Excellent time management skills
Strong keyboarding/computer skills, including Microsoft Word and Excel
Must be detail oriented with good observation skills.
Roles & Responsibilities:
Remotely monitors customer service skills of all customer service representatives to ensure quality of call handling, accurate coding in CRS and making appropriate documentation.
Completes established monitoring objectives in accordance with applicable SOP's.
Provides written and oral feedback to the CSR on all calls monitored.
Completes daily statistical reports and spreadsheets according to standard procedure.
Completes Quality Control Reports as assigned on a daily basis, makes corrections to CRS when errors exist and documents the contact.
Attends weekly and monthly department meetings to calibrate monitoring measurements.
Notifies management immediately of serious infractions in a Customer Service Representative's call quality.
Follows all client SOP's and applicable work related guidance documents.
Responsibilities may include taking Supervisory calls and escalations.
Ensure daily / weekly / monthly audit targets are met.
Ensure audits are completed as per client requirements and ATA is maintained.
Ensure to take calls whenever needed as specified by the manager.
The above statements are intended to indicate the general nature and level of work being performed by employees within this classification.They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job. Employees in this job may perform other duties as assigned.
Location:
Sourced by ZipRecruiter
Strategic planning consulting services
10,000+ Employees
Westminster, CO, US
1998