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Quality Review/Audit Sr Assoc (Austin, TX) at Cigna

Posted in Insurance 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Austin, Texas

Job Description:

  • Audits and reviews the accuracy of the Agent Resource call center transactions.

  • Also audits New Business and/or Agent Contracting and Commissions processes¬† for systems structure and data entry to ensure compliance and consistency with administrative procedures and guidelines.

  • May be asked to assist in gathering data around trends or high risk activities.

  • Helps develop and distribute audit reports. May assist with third party audits by completing questionnaires, validating selected claims, and responding to errors etc.

  • Identifies and recommends changes to improvements in department processing and procedures, and assists in the development of audit guidelines.

  • May act as subject matter expert and a resource for team members.

  • May develop and/or recommend training programs to address error trends.

  • Position requires detailed knowledge of call and processing procedures.

  • College degree preferred but may be substituted by 4+ years of relevant work experience.