Quality Specialist II

Key responsibilities: Conduct audits professionally and ethically, ensuring adherence to applicable standards Monitor and evaluate quality standards for claims, inquiries, and enrollments for accuracy and compliance Identify trends and root causes of errors, recommending improved procedures to enhance quality practicesRequired qualifications: High school diploma or GED Three years of claims, customer service, or enrollment experience, including one year in quality audit or assurance Bilingual proficiency in English/Spanish is preferred Quality 101 certification is preferred