Quality Assurance, Risk Control & Special Investigations Analyst - Remote

Overview

The Quality Assurance, Risk Control & Special Investigations Analyst is a specialized role responsible for ensuring operational integrity, service excellence, and adherence to regulatory standards across life insurance Third-Party Administrator operations.

In Short

• Conduct comprehensive quality audits of call center interactions.
• Review and audit service and administrative forms for accuracy.
• Provide feedback and coaching to improve service quality.
• Track and report on TPA and QA metrics.
• Review internal fraud referrals and analyze potential fraudulent activity.
• Collect and summarize documentation related to suspicious cases.
• Monitor operational and financial controls.
• Assist in reporting control gaps and risks.
• Collaborate on process improvements and training support.

Requirements

• Minimum of 2 years in Quality Assurance, Compliance, or Fraud Analysis.
• Strong knowledge of life insurance policy lifecycle and TPA procedures.
• Ability to analyze complex transaction histories for fraud assessment.
• Exceptional communication skills for feedback and reporting.
• Experience with quality monitoring systems preferred.
• Familiarity with life insurance regulations preferred.
• Experience in internal control audits preferred.
• Experience creating quality assurance checklists preferred.

Benefits

• Competitive salary and equity based on role.
• Flexible paid time off and parental leave programs.
• 100% paid-premium option for medical, dental, and vision insurance.
• Lifestyle stipend for wellbeing.
• Flexible work-from-home policy.
• Diversity, equity, and inclusion initiatives.