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Remediation Operations Quality Assurance Specialist

2 months ago

Melbourne, Victoria, Australia Bupa Full time
{"title": "Remediation Operations Quality Assurance Specialist", "content": "About the Role

We are seeking a highly skilled Remediation Operations Quality Assurance Specialist to join our team at Bupa. As a key member of our Remediation Operations Team, you will play a critical role in ensuring the quality and effectiveness of remediation efforts within the health insurance industry.

Key Responsibilities:

  • Execution of the Quality Assurance framework to support operational teams in delivering quality customer outcomes
  • Delivery of training/skilling as required to meet the remediation pipeline
  • Analysing data sets and providing valuable data-driven insights to key stakeholders for informed decision-making and input into planning
  • Complete accurate and timely reporting, analyse reports to identify insights and trends and implement actions where required
  • Creation and maintenance of procedural and technical content for the benefit of the remediation operations teams
  • Actively contributing as a process SME in business-driven and continuous improvement initiatives
  • Initiate and contribute to identification of improvement opportunities for the end-to-end remediation process.

Requirements:

  • Generally, 3-5 years of experience in the health insurance industry is needed, with a focus on claims processing, policy management, or quality assurance
  • Specific experience in handling or overseeing remediation processes and quality control within the health insurance domain is important
  • Experience in quality assurance or quality control roles, particularly within health insurance or related fields, is essential
  • Strong understanding of health insurance regulations, compliance requirements, and industry standards
  • Proficiency in analysing data to identify trends, issues, and areas for improvement
  • Ability to use data to make informed decisions and recommendations
  • Familiarity with quality management software, claims management systems, and data analysis tools. Proficiency in using MS Office (Excel, Word, PowerPoint) for reporting and documentation
  • Strong communication skills for preparing reports, delivering presentations, and collaborating with various stakeholders
  • Ability to identify root causes of quality issues and develop effective remediation strategies. Strong problem-solving skills to address complex issues that arise during the quality assessment process
About Bupa

Bupa is a global health and care company that is committed to helping people live longer, healthier, and happier lives. We believe that everyone deserves access to quality healthcare, and we are dedicated to making a positive impact on the lives of our customers and employees.

We offer a range of benefits to our employees, including fully subsidised health insurance products, discounts on travel, car and home products, and an additional annual leave day for wellbeing. We also have a global wellbeing program that covers all aspects of our health, from mental and physical to financial, social, and environmental wellbeing.

We are an equal opportunities employer and welcome applicants from all cultural backgrounds, genders, and abilities. If you require any adjustments to participate in our recruitment process, please let us know at the time of your application.

"}