Comprehensive Quality Coordinator I

The Quality Improvement Specialist provides quality related monitoring, evaluation, and auditing services to improve operations in the assigned department and contribute to the attainment of the departments goals and objectives.

Key Responsibilities:

Audit work of assigned employees for accuracy using the standards established by the department. 70%

Identify, analyze, and recommend process improvements that will enhance department productivity or operations. 10%

Coach assigned employees to achieve improvements in quality. 10%

Document quality audit results, providing accurate and timely reports results to the department management. 10%
Requires strong ability to analyze data and suggest improvements that will enhance operations.
Must be detail oriented and have ability to work in a high volume, fast paced environment.
Requires the ability to deal with ambiguity and the corresponding ability to quickly provide sound decisions and recommendations with less than complete information.
Requires ability to process time sensitive data and information from multiple sources, make decisions based on this data, and to effectively communicate the related required actions.
Requires incumbent to be self-motivated to independently work to complete multiple projects/tasks in a timely and accurate fashion.

Required Skills/Experience:

Requires a minimum of 4 years specific experience in Department operations and administrative procedures.
Requires a minimum of a 2 years experience in general insurance business techniques.
Requires excellent oral and written communication skills to effectively communicate to employees and management.
Requires good organizational skills and the ability to complete multiple complex tasks in a timely fashion.
Requires a Bachelors degree in Business Administration, or a related field or equivalent work experience. It is desirable for the incumbent to have process improvement and/or project management related training.
Knowledge of insurance processes (actuarial, financial, membership, reporting, claims, etc) is desirable.
One year experience on an Insurance service desk is desirable.