Quality Assurance Analyst

Propel Consult

Bahrain

Ref: LP127-1331

Job description / Role

Employment: Full Time

Our client is one of the leading insurance companies. Currently they are looking to hire a Quality Assurance Analyst employee for their Bahrain Branch.

Duties & Responsibilities:
- Support Quality Assurance Manager in developing the processes needed for the Quality Assurance methodology to establish, implement and maintain across operations – Claims, Pre-authorization, Customer Service, Network Provider Relation, Billing, Eligibility, Compliance and Case Management;
- Engage and provide inputs for developing robust Quality Assurance methodology based on the business structure and requirements;
- Prepare and document escalation of critical issues to Quality Assurance Manager;
- Conduct on field Process Quality Assurance Reviews in line with the methodology and identify risks that impacts the business;
- Support and conduct reviews based on Internal Control / Operational Audits methodology;
- Responsible for preparation of Process workflow documentation and gap analysis;
- Actively participate in developing robust plans that mitigate internal and external compliance risks, identify improvement opportunities;
- Prepare, analyze and report Management Information data for consumption of senior management teams;
- Coordinate with internal stakeholders to achieve overall objective of the work;
- Support in significant improvement projects;
- Reviews the accuracy of case processing activities ( Claim Processing, Claim Payment, Approval Checking, Financial accuracy, , claim accuracy, Premium Collocation) , and data entry to ensure compliance and consistency with administrative procedures and guidelines;
- Support in developing various Key Performance Indicator and Metrics in the overall improvement of the process and engage in governance of the same;
- Recommend training requirement to manage and control error in each department ;
- Coordinate with line manager of each department and support them to decrease risk in each function in the department ;
- Develop weekly and monthly reports to management;
- Support manager in all ad-hoc activities including report writing, case investigations, MI data, Presentation, reporting etc;

Requirements

- Bachelor’s Degree & Quality Audit;
- Good Knowledge of Insurance / TPA / and Reinsurance Company / claim / premium / medical insurance – Preferred not mandatory;
- Attention to detail and the determination on quality standards are essential;
- Ability to communicate effectively with key stakeholders at all levels within an organization;
- Experience in carrying out Quality Assurance Reviews / Internal Control Reviews / Operational Audit;
- Experience and knowledge of Management Information reporting and Presentation skills;
- Exceptional analytical skills and attention to detail together with strong ability to organize work and focus on delivering results.
- Project management & Excellent organizational skills.
- Audits work using analysis and interpretation and audits moderately complex work/products/processes.
- Pro-active, own initiative and accountability.
- Ability to deal with numerous tasks simultaneously.
- Demonstrated ability to build effective partnerships, and drive process implementation across organizational lines.
- Creative reporting skills
- Experience working in health insurance or third party administrative industry in a related role.
- Strong influencing skills and ability to work in a complex highly matrix environment, including balancing priorities of multiple organizations to deliver end results.
- Aware of Software Quality Management System (QMS).

About the Company

Propel Consult delivers a service in step with the needs of both our client companies and candidates. Our ability to add value to all levels of recruitment stems from our wholehearted belief in providing a professional service to both parties. We have built relationships with many leading indigenous and mulitnational organisations throughout the Middle East and internationally in countries such as UAE, Qatar, Saudi Arabia, Oman, Bahrain, Kuwait, Egypt and many more. Concentrating our resources has created 5 distinct specialist divisions:

  • Banking & Finance
  • Human Resources
  • Oil & Gas
  • Construction
  • Architecture & Engineering

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