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Quality Assurance (QA) Specialist
I improve insurance claims quality, compliance, and customer outcomes through audits, investigation, and process improvement.
PhilippinesQuality Assurance (QA) Specialist at TSA Philippines-Insurance Australian Group (IAG)
TSA Philippines-Insurance Australian Group (IAG)
Conduct quality audits to evaluate claim handling accuracy, compliance, and customer service performance. Analyze claim cases and identify process improvement opportunities, prepare quality reports, and provide feedback and coaching recommendations.
Quality AssuranceAuditClaims InvestigationDocumentation ReviewComplaint ResolutionData Analysis
Investigates and resolves insurance claims by evaluating information, determining fair settlements, coordinating repairs, and approving payments. Maintain accurate claim records, monitors claim progress, and reviews reports, invoices, and policy details to assess coverage and support claim decisions.
Home InsuranceProperty InsuranceMotor InsuranceLandlord InsuranceDocument ReviewPaymentsPayment ProcessingBuilderRestorationAssessment And EvaluationInsurance ClaimsInsurance VerificationClaims InvestigationClaims SubmissionAccommodation ManagementEmergency RepairsBuilding RepairsBuilding RestorationInsurance PolicyTemplate Letter WritingStrataLoss Of RentRentalsPolice Reports ReviewComplaint HandlingComplaint ManagementComplaint InvestigationComplaints ManagementMicrosoft 365Microsoft WordMicrosoft TeamsMicrosoft CopilotMicrosoft OfficeVerint SuiteCitrix Virtual Apps And DesktopsCitrix GatewayCitrix
Demonstrates strong communication and coordination skills when working with customers, carriers, business partners, and internal teams. Skilled in providing timely updates, managing multiple requests, prioritizing urgent concerns, resolving issues efficiently, and maintaining accurate records to ensure smooth operations and accountability.
Inbound CallsOutbound CallingTechnical SupportTelecommunications IndustryNumber PortingCustomer ServiceProblem SolvingCase ManagementMicrosoft 365CitrixSlackEscalation SupportEscalation ManagementLNPTicketingOrder VerificationProvisioning
Pursued a Bachelor of Science in Elementary Education, focusing on foundational teaching principles and practices.