• Leading a Claims Quality Assurance team and providing quality assurance in relation to claim assessment in line with the TAL claims quality framework and risk management principles • Promote a culture of risk management and continuous improvement by providing risk-based detective controls and insights relating to claim assessment • Manage Life Claims with focus on customer service, accurate policy assessment, cost control, and return-to-health outcomes using best-practice strategies • Resolve complaints and implement improvements to enhance service quality • Ensure adherence to TAL policies, legislative requirements, industry guidelines, and maintain a strong risk culture • Provide guidance on liability determinations, strategy sign-off, and participate in case conferences for complex claims • Allocate daily work, monitor performance, manage resources, and use reporting to ensure service delivery • Recruit, coach, and develop Claims Consultants while driving TAL’s risk culture and customer service standards

• Monitor and evaluate team outputs including calls, emails, chats, and documents for quality and accuracy • Conduct regular quality audits and provide detailed, constructive feedback to team members and managers • Develop and maintain quality scorecards and assessment frameworks in line with company standards • Identify recurring quality issues and collaborate with team leaders on corrective action plans • Track quality trends over time and report findings to management with actionable recommendations • Assist in the development and updating of standard operating procedures and quality guidelines • Support onboarding and training programmes by contributing to quality benchmarks for new starters • Maintain accurate records of all quality assessments and outcomes

• Carry out manual tests to ensure the software created meets the requirements. • Analyze software to prevent issues and fixing bugs. • Understand the functional requirements, systems architecture, and test environment. • Preparation and execution of High-level test scenarios. • Analyze, correct data, and load into the system. • Visualize, interpret and report data findings via dashboards, reports, and charts. • Develop and execute comprehensive test cases and test scripts to validate software functionality, usability, and reliability. • Document and track defects using issue tracking system and work closely with the development team to prioritize and resolve identified issues. • Perform Regression Testing to verify software stability and compatibility across different platforms and environments. • Collaborate closely with cross-functional teams including developers, product managers, and quality assurance engineers to ensure alignment on testing objectives and priorities. • Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias. • All other duties as assigned

Role Description The Quality Assurance (QA) Review Specialist performs review functions to ensure that disclosures of PHI and PI are accurate and complete and comply with client protocols, state and federal privacy laws and regulations and/or with policies and procedures regarding HIPAA, PHI and PI. This position may be performed remotely. - Reviews authorizations and requests for records to ensure that all pertinent information is contained on these forms and the dates are valid and relevant to the release process. - Verifies that the attached medical records correlate to the authorization and request and documentation encompasses that patient only. - Follows all Quality Assurance policies, procedures and job aids. - Proactively communicates with Manager or Supervisor regarding further clarification and when additional work is needed. - Actively participates with QA Team Meeting discussions. - Sends notifications to requestor when applicable. - Communicates with company personnel in a professional and friendly manner. - Communicates with Release of Information Specialists and Client Site Managers on issues pertaining to quality review. - Attends and completes on time, all required training sessions provided by Verisma. - Meets accuracy standards and performance indicators established by the Company. - Performs other appropriate duties as assigned to meet the needs of the department and the Company. - Consistently live by and promote Verisma Core Values. Qualifications - Must be detail oriented. - HS Diploma or equivalent, additional education in Health Information is preferred. - RHIT certification, CHDA certification or the ability to take and pass the course is preferred. - Knowledge and ability to use components of Microsoft Office Suite to complete tasks and possess the ability to learn new software applications. - 2 years’ experience in a professional office environment or healthcare setting, preferred with medical terminology knowledge. - Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred. - Must be able to communicate clearly and concisely to relay information to other departments. - Must be able to work independently.