Summary
Sedgwick is an insurance and claims management company that provides services supporting people facing unexpected events. The Quality Assurance Specialist assesses and promotes data quality and performance by auditing case files and client records, identifying efficiency opportunities, and ensuring compliance with service expectations and agreements.
Responsibilities
- Assesses performance of internal, client or vendor case files or records at regular intervals for accuracy, consistency and compliance with service level expectations and service agreements
- Identifies trends and areas of opportunity for increased service efficiency and quality
- Works in partnership with stakeholders to ensure all required and relevant data elements, including but not limited to client demographics, client contacts, 3rd party connections, contract records, and performance guarantees are accurately and consistently captured in the client relationship management system
- Compiles audit results and submits to manager for review
- Provides audit results for quarterly stewardship reports
- Monitors ongoing action items logs and project plans with appropriate stakeholders
- Updates vendor resources to mapping program
- Performs other duties as assigned
- Supports the organization's quality program(s)
Skills
- Four (4) years of investigative experience or equivalent combination of education and experience required
- Oral and written communication skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Ability to work independently or in a team environment
- Ability to meet or exceed Performance Competencies
- Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
- Computer keyboarding, travel as required
- Hearing, vision and talking
- Bachelor's degree from an accredited college or university preferred
Qualifications
Must Haves
- Four (4) years of investigative experience or equivalent combination of education and experience required
- Oral and written communication skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Ability to work independently or in a team environment
- Ability to meet or exceed Performance Competencies
- Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
- Computer keyboarding, travel as required
- Hearing, vision and talking
Nice to Haves
- Bachelor's degree from an accredited college or university preferred