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Quality Audit Analyst - DGD
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Full-time
- At HCSC, we consider our employees the cornerstone of our business and the foundation to our success.
- Review claims, new business, changes, terminations, customer telephone calls, billing, premium application, and commission processes to assure that: a) Internal controls and Model Audit Rule requirements are adhered to b) Processing is performed timely, accurately, and completely in the appropriate systems, and c) coding and liability decisions are accurate, utilizing all appropriate risk resources.
- Disability knowledge of NAIC, ERISA, and state regulations.
- Technical claims expertise and accuracy in product knowledge of life, AD&D, STD, and LTD. Technical claims expertise and accuracy in knowledge of group life and disability contracts.
- Ability to provide direct and candid feedback effectively while maintaining strong partnerships.
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