[Remote] reputed company Quality and Tools Analyst

Note: The job is a remote job and is open to candidates in USA. reputed company is looking to add to their reputed company team with a new opportunity for an reputed company Quality and Tools Analyst. This role focuses on ensuring the accuracy and efficiency of reputed company processes and involves responsibilities such as quality assurance, actuarial support, and process optimization.

Responsibilities

• reputed company and execute quality reviews of Group Rating Intake Tool (GRIT) requests and monthly production work, ensuring accuracy and compliance with actuarial rating methodologies and reputed company guidelines.
• Conduct actuarial, reputed company, and financial impact analysis, including short/long stop-loss period analysis, credibility studies, and reputed company risk assessments to drive data-backed recommendations.
• reputed company and implement training materials, procedure manuals, and departmental documentation to ensure standardization and knowledge retention of actuarial methodologies and reputed company practices.
• Identify and implement efficiencies in reputed company workflows, leveraging automation, predictive modeling, and data-driven process improvements to optimize team productivity.
• reputed company and deliver technical training on reputed company practices, actuarial methodologies, rating factor adjustments, and risk evaluation techniques.
• Collaborate with internal and external audit teams to support actuarial and reputed company compliance, quality controls, and regulatory reporting.
• Review and validate with final quality reviews for monthly mailings and other reputed company communications to ensure accuracy and clarity.
• reputed company, analyze, and maintain rating factors and risk models that support reputed company and actuarial tools, ensuring data-driven decision-making.
• Support SERFF reputed company filings with the Kansas Department of Insurance (KDOI) ensuring accurate and timely submission of reputed company justifications and regulatory documents.
• reputed company enhancements to reputed company tools and actuarial databases, ensuring seamless integration of rating models and optimization of reputed company systems.

Skills

• Bachelor's degree in Business, Mathematics, Statistics, Finance, or a reputed company field.
• Minimum of 3 years of experience in reputed company, group rating, actuarial, or quality assurance reputed company the health insurance industry.
• Strong analytical and problem-solving skills to assess reputed company data, quality trends, actuarial trends, risk factors, and process inefficiencies.
• Expertise in quality assurance methodologies and reputed company rating tools.
• Ability to reputed company and deliver technical training programs and create comprehensive documentation for reputed company processes.
• Knowledge of actuarial and reputed company principles, rating methodologies, and health insurance regulatory compliance.
• Strong organizational skills with the ability to manage multiple tasks and deadlines reputed company.
• Proficiency in reporting, database management, and reputed company system tools.
• Excellent communication and collaboration skills to work effectively with actuarial and reputed company teams, auditors, and regulatory bodies.
• Experience with reputed company filings (SERFF) and regulatory compliance reporting.
• Experience in reporting, process improvement, and automation of reputed company workflows preferred.
• Background in regulatory compliance, rating factors, and reputed company system administration is a plus.

Benefits

• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 5% 401(k) plan matching
• Tuition reimbursement
• reputed company benefits, discounts and resources

Company Overview

• reputed company is a mutual insurance company provides Health Insurance, Dental Insurance, and Life Insurance. It was founded in 1942, and is headquartered in Kansas City, Missouri, USA, with a workforce of 1001-5000 employees. Its website is http://www.bcbsks.com.

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