The main job of an Quality Assurance Supervisor for Disability Claims is to manage productivity of QA and aid in their effectiveness for a Healthcare account. He/she should be conducting transaction auditing sessions and JMS sessions for Q-reps. He/she must keep the QA’s motivated and working as a team, making sure each member understands company policies and guidelines. Associate Managers should possess strong organizational qualities and confidence, with sound communication and customer service skills. They should exhibit courtesy, patience and have a professional attitude when interacting with the QAs as well as customers. Associate managers need to display a strong work ethic, positive attitude and decent leadership skills while working as associates themselves.

Qualifications

TECHNICAL / PROFESSIONAL SKILL SET REQUIRED

• Background in healthcare specifically in Disability Claims.

• Has people management experience.

• Good knowledge of Quality metrics, their measurements and thresholds / targets.

• Knowledge and clear understanding of critical and non-critical errors in the transactions.

• Good in investigative and business writing skills.

• Good at creating reports using various tools and applications.

• Being able to perform risk analysis to the satisfaction of the stakeholders or departments.

• Basic exposure to statistical tools and approaches, trend analysis & cause analysis

• Working knowledge of MS Office (Word, Excel & PowerPoint).

KEY ROLES AND RESPONSIBILITIES

• Prepare weekly Sampling Plan and share with the QA team.

• Ensure that all types of transactions are monitored in the programs assigned

• Ensure that all the three types of audits are done as recommended by COPC - Live, Recorded and Side-by-Side

• Ensure Sampling Adherence is met MIPs are implemented if required.

• Track if the QAs are providing appropriate feedback basis the call audits to improve consultant’s ability to perform better.

• Keep checking the QA's accuracy by doing ATA and Calibration.

• Prepare and share Gage R&R report.

• Be a consultant and advisor to the QAs to clarify on parameters during need.

• Conduct frequent QA reviews and provide inputs to QA on the areas to be focused

• Facilitate QA’s to conduct NH trainings during Nesting.

• Analyze monitoring data to identify program level issues and opportunities

• Communicate the insights and analysis regularly to different teams like Service Delivery, Training, etc.

All your information will be kept confidential according to EEO guidelines.