Claims Quality Audit Director jobs in Colorado
Claims Quality Audit Director directs and oversees the operations of the claims quality audit department to follow the audit policies, procedures and regulation. Provides professional knowledge and guidance on technical or procedural problems. Being a Claims Quality Audit Director creates claims audit policies and procedures. May recommend changes in claims processing procedures. Additionally, Claims Quality Audit Director typically Requires a bachelor's degree. Typically reports to top management. The Claims Quality Audit Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Quality Audit Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Recently Added Claims Quality Audit Director jobs
Director of Claims
- Missouri Employers Mutual
-
Denver, CO
FULL_TIME
-
Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual.
At MEM, we’ve created a casual, values-driven work culture that’s making a
positive impact on the way people live and work. We offer a hybrid work model,
with positions to accommodate the changing needs of today’s employees. Our
team enjoys a variety of different work environments, which allows for more
flexibility, less time spent commuting, and greater ability to address personal and
family needs. This is a place where you can grow with confidence – because
that’s what safety and success really mean to us.
MEM is headquartered in Columbia, MO, and our virtual team serves our
policyholders and partners from across the U.S.
JOB PURPOSE
The Director of Claims is integral in steering the strategic direction and
operational excellence of the claims department at MEM. Responsibilities for this
role include leading a team of claims professionals, partnering with executive
leadership to develop and execute strategies that drive towards overall claims
risk management and mitigation, while driving a focus to continuously improve
return to work and claim outcomes.
This further includes monitoring and enhancing quality assurance and technical
training programs, in accordance with MEM strategic objectives. Leadership at
this level will drive the team towards efficiency, effectiveness, and high-quality
service delivery, ensuring the company's competitive edge in the workers'
compensation insurance market.
ESSENTIAL DUTIES AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Leadership and Direction
Identify and communicate the actions needed to implement the function's
strategy and business plan within the business area or department; explain the
relationship to the broader organization's mission, vision, and values; motivate people to commit to these tenets and do extraordinary things to achieve
business goals.
Policy Development and Implementation
Oversee the development of policies and procedures to ensure consistent and
efficient implementation of best practices.
Resource Allocation
Prioritize and allocate resources based on complexity and risk, so that the team
can operate efficiently and ensure high quality service and outcomes.
Relationship Management
Oversee agent and policyholder relationships to ensure effective communication
and realization of customer value. This also includes regular cross-functional
partnerships with units across the business (e.g., SRS, CompLegal).
Team Management
Provide support to team members to enable effective delivery of services
according to expected standards. Includes leading in the areas of performance
management, coaching, and identifying development needs.
Performance Management
Help establish and monitor department metrics and key performance indicators
to drive action and results. Manage and report on the performance of the
department; set appropriate performance objectives for direct reports and
departmental teams and hold individuals accountable for achieving them; take
appropriate corrective action where necessary to ensure the achievement of
team/individual objectives.
Solutions Analysis
Develop innovative solutions by integrating and analyzing complex and diverse
information sources and market trends.
Regulatory and Compliance Management
Ensure appropriate processes and controls are in place to comply with legal and
regulatory requirements.
Organizational Capability Building
Use the organization's formal development framework to identify the team's
individual development needs. Plan and implement actions, including continuing
professional development specified by professional or regulatory institutions, to
build their professional capabilities. Provide informal training or coaching to
others throughout the organization in own area of expertise to enable others to
improve performance and fulfill personal potential.
Budgeting
Develop and manage an operational budget that aligns with the company
strategy and priorities.
QUALIFICATIONS:
Education:
Bachelor's Degree or Equivalent Experience
Experience:
10 years workers compensation claims experience
10 years management experience
Our home office is located in vibrant Columbia, Missouri — #6 in Livability’s 2019 Best Places to Live. - 9 Days Ago
Audit Production & Quality Control Manager
- SGS
-
Greenwood, CO
FULL_TIME
- Company DescriptionSGS is the world's leading inspection, verification, testing and certification company. SGS is recognized as the global benchmark for quality and integrity. With more than 89,000 em...
- 21 Days Ago
Director, Claims - Workers Compensation
- Pie Insurance
-
Denver, CO
FULL_TIME
- The Director, Workers' Compensation Claims will develop, lead, and steward Pie’s workers' compensation claims strategy. This role is responsible for managing and implementing claims programs for the w...
- 7 Days Ago
CO - 1099 Property Claims Adjuster
- Copper Claims Services, Inc.
-
Denver, CO
FULL_TIME
- 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
- 1 Month Ago
Director of Quality
- Animas Surgical Hospital, LLC
-
Durango, CO
FULL_TIME
- Open until filled Job Summary: The Director of Quality is responsible for the oversight and management of Clinical Education, Employee Health, Infection Prevention, Risk Management, and Quality. Repor...
- 18 Days Ago
Director of Quality
- Ursa Major
-
Berthoud, CO
FULL_TIME
- Ursa Major was founded to address a critical shortfall in the U.S. industrial base and bring a new model to aerospace and defense systems: we design and manufacture the world's leading propulsion syst...
- 1 Month Ago
Claims Quality Audit Director jobs at Popular Companies
Director of Quality Control
- BioRestorative Therapies, Inc.
-
Melville, NY
- Maintain a robust Quality Management (QM) program in concert with the Biologic Therapies Facility (BTF) Director, Direct...
- 4/26/2024 12:00:00 AM
Director of Quality Control
- ADAGE INNOVATIONS INC
-
Alexandria, VA
- Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opport...
- 4/26/2024 12:00:00 AM
Director of Quality Control
- Bechtel Recruiting Group
-
- Director of Quality Control -- Thank you for taking the time to consider applying with the Bechtel Recruiting Group. We ...
- 4/24/2024 12:00:00 AM
Director of Quality Control
- Jla Architects
-
Denver, CO
- Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
- 4/23/2024 12:00:00 AM
Director of Quality Control
- JLA Architects
-
Denver, CO
- Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
- 4/23/2024 12:00:00 AM
Director of Quality Control
- JLA Architects
-
Milwaukee, WI
- Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
- 4/23/2024 12:00:00 AM
Director of Quality Control
- Kalon Executive Search for Health and Wellness
-
Los Angeles, CA
- Our client, a health and wellness company are seeking a qualified Director of Quality Control to help build a solid, sta...
- 4/22/2024 12:00:00 AM
Director of Quality Control
- Kalon Executive Search for Health and Wellness
-
Los Angeles, CA
- Our client, a health and wellness company are seeking a qualified Director of Quality Control to help build a solid, sta...
- 4/22/2024 12:00:00 AM
About Colorado
Colorado (/ˌkɒləˈrædoʊ, -ˈrɑːdoʊ/ (listen), other variants) is a state of the Western United States encompassing most of the southern Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains. It is the 8th most extensive and 21st most populous U.S. state. The estimated population of Colorado was 5,695,564 on July 1, 2018, an increase of 13.25% since the 2010 United States Census.
The state was named for the Colorado River, which early Spanish explorers named the Río Colorado for the ruddy silt the river carried from the mountains. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$154,638 to $220,999
Most Popular Cities in Colorado for Claims Quality Audit Director Jobs
What does a Claims Quality Audit Director do?
Claims Quality Audit Director in Olympia, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Director will increase 16 % over 5 years.
December 23, 2019