Claims Quality Audit Supervisor jobs in Pennsylvania

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It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career.

And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.

If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here.

Join us and contribute to Sedgwick being a great place to work.

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DRP Quality Assurance Specialist

PRIMARY PURPOSE : To assess, promote and confirm data quality and / or performance of investigative service partners and internal resources by performing quality audits of case files or client records to ensure optimal service delivery and compliance.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Assesses performance of internal, client or vendor case files or records at regular intervals for accuracy, consistency and compliance with service level expectations and service agreements.
• Identifies trends and areas of opportunity for increased service efficiency and quality.
• Works in partnership with stakeholders to ensure all required and relevant data elements, including but not limited to client demographics, client contacts, 3rd party connections, contract records, and performance guarantees are accurately and consistently captured in the client relationship management system.
• Compiles audit results and submits to manager for review.
• Provides audit results for quarterly stewardship reports.
• Monitors ongoing action items logs and project plans with appropriate stakeholders.
• Updates vendor resources to mapping program

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred or 5 years related job experience.

Experience

Four (4) years of estimate review experience or equivalent combination of education and experience required.

Skills & Knowledge

• Oral and written communication skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Ability to work independently or in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion;

ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical : Computer keyboarding, travel as required

Auditory / Visual : Hearing, vision and talking

NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.

They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.

Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location.

For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($44,000 - $62,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

You may be just the right candidate for this or other roles.

Last updated : 2024-05-29