Quality Assurance Specialist (US Healthcare Insurance)

Position Title : Quality Assurance Auditor

Location : Alabang, Muntinlupa City

Setup : Onsite

Schedule : Rotating Shift

Qualifications :

• Bachelor’s degree in any 4-year course
• Proven experience in Quality Assurance, preferably within the US Insurance or Health Care industry
• 2 to 3 years of hands-on QA experience is preferred
• Advanced proficiency in Microsoft Excel, including reporting, dashboard creation, and data management
• Strong verbal and written communication skills

Job Description :

Under the supervision of the Operations Supervisor, The Quality Assurance Auditor is responsible for ensuring the accuracy and integrity of client-facing documents by thoroughly reviewing Excel-based proposals and their source materials for errors or discrepancies that could lead to financial exposure. This role requires a strong understanding of employee benefits across medical and ancillary lines, as well as the ability to interpret Carrier Renewals, Quotes, Summary of Benefits and Coverage (SBCs), and benefit summaries. The ideal candidate is detail-oriented, proficient in Excel, including formulas and formatting—and possesses a solid grasp of how carrier rates and premiums are structured to ensure precise and reliable documentation.

Responsibilities