Quality Assurance Analyst

Reposted 5 Days Ago
Be an Early Applicant
2 Locations
In-Office
Junior
Fintech • Insurance • Financial Services
The Role
The Quality Assurance Analyst ensures accurate processing of clinical forms and provider forms while adhering to policies. They report on transaction complexity and audit processes, generating necessary reports and maintaining data accuracy. Strong analytical, communication, and decision-making skills are essential.
Summary Generated by Built In

Minimum Skills Required to Hire:

The candidate:

  • Must have at least 1 year tenure in current position
  • Must be meeting or exceeding performance metrics in the current position
  • Must not have any attendance issues and have not received any disciplinary action

Education:

  • College/University graduate preferably with previous related work experience in the financial services

Technical Skills:

  • Clinical Forms: Ability to handle moderate to complex clinical forms, demonstrating a strong understanding of the nuances involved in processing these documents.
  • Provider Form: Competence in managing basic provider forms, ensuring accurate completion and compliance with required standards.
  • VT Feed: Proficiency in handling basic VT feed tasks, maintaining data accuracy and efficiency in processing.
  • Superior knowledge of LTC Information Resource policies and procedures;
  • Knowledge of inter and inter-and-intra departmental work flows and procedures;
  • Excellent typing skills
  • Experienced in Excel, Access and access related report generation
  • Proficiency in all the following systems: Promise, LifePRO, CSC, Beacon and Group GLTC
  • Medical terminology, coding and provider billing practices required

Soft Skills:

  • Superior communication skills, both written and oral.
  • Strong analytical and problem-solving skills
  • Excellent decision-making skills
  • Strong analytical skills include ability to draw conclusions from statistical data and recognize cause and affect relationships in processes and workflows.
  • Ability to facilitate feedback of audit results in a detailed, educational and professional manner.
  • Strict attention to detail
  • Excellent coaching skills

Minimum Skills Requirements to Go-live:

Product Specific Knowledge

  • Strong Knowledge of overall claim initiation process

Process Specific Knowledge

  • Able to identify the complex and non-complex transaction
  • Report generation
  • QA process/Audit Process

Tools Specific Knowledge

  • Promise
  • LifePro
  • Care
  • Beacon
  • GLTC
  • CSC
  • Sharepoint
  • Ifind/Ondexx

When you join our team:

  • We’ll empower you to learn and grow the career you want.
  • We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
  • As part of our global team, we’ll support you in shaping the future you want to see

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact [email protected].

Working Arrangement

Hybrid

Top Skills

Access
Beacon
Csc
Excel
Group Gltc
Ifind/Ondexx
Lifepro
Promise
Sharepoint
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The Company
HQ: Toronto, Ontario
32,427 Employees

What We Do

Manulife is a leading international financial services group that helps people make their decisions easier and lives better. With our global headquarters in Toronto, we operate as Manulife across our offices in Canada, Asia, and Europe, and primarily as John Hancock in the United States. We have more than 40,000 employees, over 116,000 agents serving ~34 million customers worldwide, and over $1.3 trillion in assets under management and administration.
Visit www.Manulife.com to find out more.

For Manulife terms of use, please visit http://bit.ly/SM_Terms

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