Summary
 

Perform quality control audits to evaluate the accuracy and effectiveness of departmental operations functions, including claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc. Identify problems, analyze cause and effect, and make recommendations for improvements.

Description
 

Location: This role is onsite at 160 N Dozier Blvd., Florence, SC 29501.

Government Clearance: This position requires obtaining a security clearance, which requires applicants to be U.S. Citizens.

What You'll Do:

• Conduct focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are followed. Document analysis findings and prepare recommendations for implementing new systems, procedures, or organizational changes to reduce errors.

• Identify weaknesses and communicate recommendations on changes and improvements to training materials. Provide feedback to management on errors detected, ensure errors are resolved, and provide long-range solutions to causes. Develop and implement a quality control and improvement program based on targets identified through the quality reviews. Monitor and evaluate the implementation of corrective action plans.

• Compile data, provide feedback, and generate reports on quality performance for operations and/or training areas. Train new employees and remain current with all guideline changes, work instructions, etc. Writes or assists in writing desk procedures and training materials for departments.

• Assist with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, and statistical reports, assisting co-workers, etc.

To Qualify for This Position, You'll Need the Following:

• Required Education: High School Diploma or equivalent

• Required Experience: One (1) year of related claims processing, customer service, auditing, training, analysis or operations experience. Two (2) years of experience performing quality audits.

• Required Software and tools: Microsoft Office

• Required Skills and Abilities: Strong analytical, presentation, customer service, persuasion, and organization skills. Strong business math proficiency. Able to document problems and assist in their resolution. Able to document processes and identify areas for improvement. Strong written and verbal communication skills.

We Prefer That You Have The Following:

• Microsoft Access & Excel experience.

Our comprehensive benefits package includes the following:

We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits on the first of the month following 28 days of employment.  

• Subsidized health plans, dental, and vision coverage

• 401K retirement savings plan with company match

• Life Insurance

• Paid Time Off (PTO)

• On-site cafeterias and fitness centers in major locations

• Wellness program and healthy lifestyle premium discount

• Tuition assistance

• Service Recognition

• Employee Assistance

• Discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You: