Quality Audit Analyst - DGD Job at HCSC

HCSC Portland, ME

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This position is responsible for planning and conducting detailed audits, analyzing programs, conducting training and managing projects related to quality. Review new business, changes, terminations, claims, customer telephone calls, billing, premium application, and commission processes to assure that: a) Internal controls and Model Audit Rule requirements are adhered to, and b) Processing is performed timely, accurately, and completely in the appropriate systems.

Responsibilities

JOB REQUIREMENTS:
  • Bachelor degree and 2 years’ experience with group products and services or 6 years of life insurance industry job experience.
  • Analytical and research skills.
  • Disability knowledge of NAIC, ERISA, and state regulations.
  • Product knowledge of life, AD&D, STD, and LTD.
  • Knowledge of group life and disability contracts.
  • Ability to work independently and within a team environment.
  • Clear and concise written and verbal communication skills.
  • Experience in making decisions independently, with minimal supervision.
  • Organizational and multi-tasking skills to manage daily work load and meet aggressive deadlines and timetables.
  • Knowledge of state contract provisions.
  • Knowledge with sold case materials, departmental documents.
  • PC proficiency to include Word, Excel and lotus Notes.

PREFERRED JOB REQUIREMENTS:
  • 1 year of experience in the Dearborn Group environment.
  • Experience with the following systems: Genelco, Enterprise Content Management (ECM), DOCSQL.
  • Group Life/Disability claims adjudication background.

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We encourage people of all backgrounds and experiences to apply.

Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.




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