7 часов назад
Quality Assurance, Risk Control & Special Investigations Analyst (Life Insurance)
26 - 30$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Quality Assurance, Risk Control & Special Investigations Analyst (Life Insurance): Auditing insurance service interactions and forms, reviewing potential fraud referrals, and monitoring operational and financial controls with an accent on regulatory compliance, transaction accuracy, and risk assessment. Focus on analyzing complex case histories, preparing evidence-based SIU referrals, identifying control gaps, and improving QA and compliance processes.
Location: Remote within the United States or hybrid in the Dallas, Texas office
Salary: $26–$30 per hour, plus equity
Company
is a vertical technology platform that helps life insurers modernize and operate their product and administration infrastructure using AI and automation.
What you will do
- Audit inbound and outbound call center interactions and completed service and administrative forms for accuracy, compliance, and adherence to TPA procedures.
- Provide objective feedback and coaching to call center agents and team leads.
- Track and report QA and TPA metrics, identify root causes of errors, and highlight compliance gaps.
- Review internal fraud referrals involving claims, policy changes, and applications; gather evidence and prepare case files for the carrier’s Special Investigations Unit.
- Monitor operational and financial controls, report deficiencies and emerging risks, and maintain confidential investigation records.
- Partner with Operations and Training teams on process improvements, control enhancements, documentation, and compliance training.
Requirements
- At least 2 years of professional experience in QA, compliance, fraud analysis, or operations within life insurance, financial services, or the TPA industry.
- Strong knowledge of the life insurance policy lifecycle, administrative forms, and TPA operating procedures.
- Ability to analyze complex transaction histories, identify unusual patterns, and assess risk and potential fraud.
- Excellent verbal and written communication skills, including the ability to deliver constructive feedback and summarize findings for executive review.
- Must be eligible for employment in the United States; uses E-Verify for newly hired employees.
Nice to have
- Experience with call recording or formal QA monitoring software.
- Familiarity with state and federal life insurance regulations, including anti-money laundering and privacy requirements.
- Experience with SOX or SOC internal control audits and creating QA checklists.
Culture & Benefits
- Flexible remote work policy with a Dallas office option.
- Equity and competitive compensation.
- Flexible paid time off and parental leave.
- 100% paid-premium option for medical, dental, and vision insurance.
- Lifestyle stipend supporting physical, emotional, and financial wellbeing.
- Employee-led diversity, equity, and inclusion initiatives.
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