Quality Assurance, Risk Control & Special Investigations Analyst
BestowLife Insurance company
United StatesMid
TriplePoint Capital
New Enterprise Associates
Valar Ventures
Goldman Sachs Growth Equity
Smith Point Capital
Operations & StrategyNew
About the role
TL;DR
Ensures operational integrity, service excellence, and regulatory adherence for life insurance TPA operations.
- •This specialized role ensures operational integrity, service excellence, and regulatory adherence for life insurance Third-Party Administrator (TPA) operations.
- •The analyst will audit interactions, investigate potential fraud, and monitor internal controls to mitigate risk.
- •Key Responsibilities Conduct quality audits of call center interactions and service forms for accuracy and compliance.
- •Deliver feedback and coaching to agents and team leads to improve service quality.
- •Perform initial reviews of potential fraud cases, gathering evidence and preparing documentation.
- •Monitor operational and financial controls to ensure effectiveness and report on gaps.
- •Requirements Minimum of 2 years of experience in QA, Compliance, Fraud Analysis, or an operational role in life insurance, financial services, or TPA.
- •Strong knowledge of life insurance policy lifecycle and TPA procedures.
- •Proven ability to analyze complex data, identify unusual patterns, and assess risk/fraud.
- •Exceptional verbal and written communication skills.
Required skills
SQLExcelJira
Nice-to-have skills
Compliance ManagementGitLinuxConfluencePowerPoint
Domain expertise
insurtech
Benefits & perks
Equity, Flexible paid time off, Parental leave, Medical insurance, Dental insurance, Vision insurance, Lifestyle stipend, Remote work
Tech stack
PythonJavaScriptSQLGitLinuxJiraConfluenceExcelPowerPoint
