Performance Quality Auditor
C
Carelon Global Solutions Philippines, Inc.
📍 Taguig, Metro Manila, Philippines
Job Description
Performance Quality Auditor page is loaded **Performance Quality Auditor**locationsTaguig - BGCIloilo - Mandurriao posted onPosted 30+ Days Ago job requisition idJR4559 **Position Title:**Performance Quality Auditor**Shift:****Job Description:**Responsible for evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries.Primary duties may include but are not limited to:* Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders.* Identifies, documents, and reports any transaction errors or communications issues in a timely manner to ensure prompt resolution.* Tracks and trends audit results, providing feedback to management. Identifies and reports on systemic issues which create ongoing quality concerns.* Generates monthly reports of audit find...