Compliance Quality Assurance Specialist

AE Perkins • Dallas, TX

5d • Hybrid

About The Position

The Compliance Quality Assurance Specialist is responsible for auditing and reviewing services and processes across all departments to ensure compliance with company and government regulations while maintaining quality standards. This role involves conducting daily audits, analyzing results, and providing feedback for process improvements, ensuring transparency and accountability in all quality assurance activities.

Requirements

• Demonstrated ability to maintain a high level of accuracy in audits and reports.
• Capable of following detailed written and verbal instructions for conducting audits.
• Strong understanding of Ameriflex systems, rules, regulations, processes, and procedures, and ability to navigate internet-based programs.
• Superior written and verbal communication skills, including email etiquette.
• Proven history of identifying issues and making effective decisions to resolve them.
• Ability to manage multiple priorities independently and meet or exceed deadlines in a fast-paced environment.
• Works effectively in a team environment, sharing knowledge and providing support as needed.
• Graduation from a four-year college preferred.
• At least one year of professional experience in a related field required.

Nice To Haves

• prior quality assurance experience considered a plus.

Responsibilities

• Review of NCA’s (New Client Applications) and renewing client accounts, ensuring that their plans are set up in compliance with IRS regulations, HIPAA regulations and Dept. of Labor regulations.
• Various COBRA responsibilities, including the review of, and any changes to, Qualified Beneficiaries and Special Plan Members accounts, as well as ensuring accuracy of COBRA Plan and Rates setup.
• Call monitoring to ensure accurate information is provided to our customers as well as making sure that our Participant Service representatives are providing the best possible experience.
• Daily Peer QA, by reviewing a sampling of each team member's work, so that you as the individual, as well as the team as a whole, can meet/exceed our individual/team accuracy of 98%.
• Periodic review of our current processes and procedures and updating of our existing documentation and SOP's when necessary.
• Working on various audits and projects when necessary and completing them within the set parameters of the audit or project in question.
• Daily assignment of a variety of work items, typically assigned throughout the day as the workload comes in while maintaining the team's daily goals and turnaround times.

Benefits

• Medical Insurance
• Vision Insurance
• Dental Insurance
• 401(k) Matching
• Flexible Spending Accounts
• Health Savings Accounts
• Disability & Life Insurance
• Employee Assistance Program
• LegalShield ID Shield
• Commuter Reimbursement Plan
• Tuition Reimbursement
• Bonus Pay
• Wellable membership
• Telescope Health (telehealth) through Accresa
• Intellect (mental health) application
• Employee engagement activities, including voluntary events, raffles, book club, and more!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level