Quality Assessment Claims Specialist

📋 Description

• Conduct structured quality reviews of claims intake calls/tickets and customer-interaction
• Score interactions using a weighted rubric and maintain consistent, defensible scoring standards
• Meet a defined audit volume/coverage target per week
• Participate in regular calibration sessions with other QA reviewers, Team Leads, and Sr.
• Flag rubric ambiguity and propose rubric updates as workflows or tools change
• Deliver clear, specific, and actionable feedback to specialists and Team Leads based on QA findings

🎯 Requirements

• 2+ years experience in claims processing, customer support, or a related operations role — ideally
• Prior claims/insurance or contact-center QA experience is a plus, not required
• Strong working knowledge of claims intake processes, documentation standards, and relevant
• Excellent listening, written, and verbal communication skills — comfortable delivering constructive
• High attention to detail and consistency; comfortable making judgment calls against a rubric
• Ability to work independently while staying calibrated with a broader QA/reviewer team

🎁 Benefits

• Great medical, dental, and vision insurance options with additional programs available when enrolled
• Mental health benefits
• Family building benefits
• Child care and pet benefits
• 401(k) plan with company match to help save for your future
• In addition to 12 observed holidays, salaried team members have discretionary paid time off, hourly