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Quality and Reporting Specialist

Key Family of Companies • Remote • Posted 5 days ago via ZipRecruiter

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Remote • Full-time • Mid Level

Job Highlights

Using AI ⚡ to summarize the original job post

The Quality and Reporting Specialist at Key Family of Companies is responsible for tracking and auditing various functions within the Recovery Department, ensuring high-quality service delivery and compliance with policies. This work from home position offers a comprehensive benefits package, full training, and competitive salary. The role requires strong organizational, analytical, and communication skills, and the ability to work independently.

Responsibilities

  • Track and audit various functions within the Recovery Department.
  • Identify and audit all up and coming year end groups.
  • Consult stop loss policies and other resource materials to review for proper application of policy provisions.
  • Manage and maintain documents on SharePoint directly related to Recovery.
  • Maintain and efficiently track status of all renewing and termed groups.
  • Oversee, report and track open issues, such as JIRA tickets, etc.
  • Review and audit Group Claim History Analysis (GCHA) reports and other reinsurance reports as needed, identifying discrepancies, trends, etc.
  • Develop and streamline processes related to Recovery functions.
  • Coordinate effectively with internal departments such as Accounting, Billing and Eligibility, I.T., Claims and Customer Service for various reinsurance recovery needs.
  • Demonstrate and develop complete understanding of all recovery functions.
  • Continually look for efficiencies and improvements to current processes.
  • Escalate issues to Vice President as deemed necessary.
  • Perform other work-related duties as assigned.

Qualifications

Required

  • Strong organizational and analytical skills.
  • Ability to work independently with little direction.
  • Strong math and computer skills.
  • Highly proficient in Microsoft Office Excel, Outlook and Word.
  • Detail oriented and ability to multi-task.
  • People and team oriented.
  • Proven abilities in written, verbal communication and presentation skills.

Preferred

  • Supervisory experience

Full Job Description

Job Description

Job Description

We are excited to welcome a Quality and Reporting Specialist to our growing team! Key Benefit Administrators is consistently named a Top Workplace by our employees, and we are excited to speak to qualified candidates about this new work from home opportunity!

Creating a Top Workplace is about more than offering great benefits and vacation time - it is about organizational health. Employees want to align with the company's vision, be challenged by a high-performance culture, and feel that they are valued and that their voices are heard.

At Key Benefit Administrators, we believe in delivering a Wow level of service to our valued clients and living up to our mission of improving people's health through high quality, cost-effective care. Strong core values, supportive work relationships, high quality training and personal development are part of our DNA, and we are looking for the right individual to join us!

If you are passionate about delivering high quality service and would like to be part of our supportive family culture - we want to hear from you. The Quality and Reporting Specialist position includes a comprehensive benefit package, full training program and competitive salary! This is a work from home opportunity.

Quality and Reporting Specialist Overview: The Quality and Reporting Specialist is responsible for tracking and auditing of the various functions within the Recovery Department.

Quality and Reporting Specialist Essential Duties and Responsibilities
  • Responsible for tracking and auditing of the various functions within the Recovery Department.
  • Identify and audit all up and coming year end groups.
  • Consult stop loss policies and other resource materials to review for proper application of policy provisions.
  • Manage and maintain documents on SharePoint directly related to Recovery.
  • Maintain and efficiently track status of all renewing and termed groups.
  • Oversee, report and track open issues, such as JIRA tickets, etc.
  • Review and audit Group Claim History Analysis (GCHA) reports and other reinsurance reports as needed, identifying discrepancies, trends, etc.
  • Develop and streamline processes related to Recovery functions.
  • Coordinate effectively with internal departments such as Accounting, Billing and Eligibility, I.T., Claims and Customer
  • Service for various reinsurance recovery needs.
  • Demonstrate and develop complete understanding of all recovery functions.
  • Continually look for efficiencies and improvements to current processes.
  • Escalate issues to Vice President as deemed necessary.
  • Perform other work-related duties as assigned.

Competencies, Knowledge, Skills and Abilities:

  • Strong organizational and analytical skills.
  • Ability to work independently with little direction.
  • Strong math and computer skills.
  • Highly proficient in Microsoft Office Excel, Outlook and Word.
  • Detail oriented and ability to multi-task.
  • People and team oriented.
  • Proven abilities in written, verbal communication and presentation skills.
  • Supervisory experience a plus.

More about Key Benefit Administrators:

KBA is a privately owned company with a family atmosphere and supportive leadership, and we take an active role in our local communities with corporate sponsorships and community outreach programs. Employees continue to vote KBA as a Top Workplace year after year! https://topworkplaces.com/company/key-benefit-administrato/indystar/

Founded in 1979 as a full-service group benefits administration firm specializing in self-funded medical plans, the Key Family has grown to become one of the country's largest independently owned third party administrators, supporting a wide variety of group benefit plans.

Learn more about KBA here: https://keybenefit.com/

Our Mission: To create happy customers who renew by improving upon our successful track record of applying patented, proven, creative solutions to the reduction of healthcare costs while improving people's health through high quality, cost-effective care.

Check us out on Glassdoor! https://www.glassdoor.com/Overview/Working-at-Key-Benefit-Administrators-EI_IE692314.11,37.htm

If you are unable to complete an application for Quality and Reporting Specialist position due to a disability, contact Human Resources by calling 800-560-3539 to ask for an accommodation or an alternative application process.

All qualified applicants for the Quality and Reporting Specialist position will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


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