Quality Assurance Analyst

A company is looking for a Quality Assurance, Risk Control & Special Investigations Analyst.

Key Responsibilities

Conduct quality audits of call center interactions and review service forms for compliance and accuracy

Perform pre-referral fraud investigations and maintain documentation of suspicious cases

Monitor operational controls and assist in process improvements to mitigate risks

Required Qualifications

Minimum of 2 years of experience in Quality Assurance, Compliance, or Fraud Analysis within the life insurance or financial services industry

Strong knowledge of life insurance policy lifecycle and TPA operating procedures

Proven ability to analyze transaction histories for risk and fraud assessment

Experience with quality monitoring systems and conducting internal control audits preferred

Familiarity with state and federal regulations governing life insurance preferred