Claims Quality Audit Director jobs in Louisiana

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)

3
Claims Audit Specialist
  • 360insights
  • Orleans, LA FULL_TIME
  • Base salary USD $36,500$44,000*

    Plus Bonus, Equity & Benefits

    • Pay transparency

    Our salary ranges are determined by role, level, and location. The range displayed on our job posting reflects the minimum and typical maximum target for new hire salaries for the position, it does not reflect the maximum salary for the role over time. Within the range, individual pay is determined by job-related skills and experience demonstrated during the interview process.


    What you will be doing:

    The 360insights Claims Audit Specialist offers multiple levels of support to the Co-op/MDF line of business. Utilizing 360 Platforms, phone, and email tools, the Co-op/MDF Promotions team manages thousands of claims and interactions which must be delivered at the highest level of quality and customer service.

    • The Claims Audit Specialist handles the processing of Co-op/MDF claims and pre-approvals, along with providing customer service (calls and emails).
    • Be an expert on Co-op Advertising Policies, Procedures, and Programs
    • Apply policies and procedures in a detailed, accurate, and consistent manner
    • Scan and upload Pre-Approval and claim documentation, when necessary
    • Enter claims into one of 360’s Platforms
    • Review and process Pre-Approvals
    • Review and process co-op advertising claims
    • Calculate claim values using client and compliant procedures
    • Be proactive in problem solving
    • Review different types of advertising for compliancy
    • Handle oral and written communication in a professional and timely manner, when necessary
    • Maintain and exceed individual KPI’s (Key Performance Indicators), including high standards of quality.
    • Participate positively in the 360 Culture and philosophy


    What
    you’ll bring to this role:

    • Experience working in a claims management role or similar
    • High quality business communication skills – written and verbal
    • Detailed oriented
    • Ability to apply logic to grey areas
    • Working knowledge of percentages
    • Bilingual (French or Spanish) is an asset


    Why 360?

    Here at 360insights you will be a part of a fast-paced global technology company that is innovating and leading in the channel incentives and insights industry. You will be helping us to deliver great solutions for some of the world’s most recognizable brands all within an inspiring and inclusive culture that has certified us as a Great Place to Work® in Canada, the USA and the UK.

    At 360insights, we take pride in being a people-first organization, dedicated to fostering a vibrant values-based and inclusive culture. Our commitment to this ethos is reflected in our day-to-day operations and interactions with both team members and clients. Embracing a people-focused approach entails the following principles:

    Diversity and Inclusion: We wholeheartedly welcome individuals from all walks of life to join our team. 360insights is committed to providing equal employment opportunities to people of every race, religion or belief and ethnic origin, regardless of age, disability, sexual orientation, or gender identity. You can find out more about our DEIB Vision on our website. We encourage applications from individuals with disabilities, and accommodations are available upon request for candidates participating in all stages of the selection process.

    Experiences that create growth. Growth that creates experiences: At 360insights, every facet of our business presents opportunities for personal and professional development, allowing you to explore diverse disciplines and rewarding work experiences. Our commitment to growth is supported by robust Learning and Development (L&D) initiatives and mentorship programs, ensuring that you have the tools and support needed to thrive and grow as an Insighter.

  • 1 Month Ago

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Director of Internal Audit
  • Tulane University
  • Orleans, LA FULL_TIME
  • Summary The Director of Internal Audit will direct and administer the internal audit function for the University and make periodic reports to the Audit Committee of the Board. The Director of Internal...
  • 2 Days Ago

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Internal Audit Director
  • Eisner Advisory Group LLC
  • Baton Rouge, LA FULL_TIME
  • Job Description At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you’re starting out in your career or taking your next ste...
  • 13 Days Ago

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Quality Director
  • Oceans Healthcare
  • DeRidder, LA FULL_TIME
  • At Oceans Behavioral Hospital DeRidder, healing is our focus. We are passionate about helping adults and seniors manage the challenges associated with anxiety, depression and other mental health issue...
  • 1 Month Ago

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Director of Quality and Risk
  • Encompass Health
  • Alexandria, LA FULL_TIME
  • Director of Quality and Risk Quality/Risk Director Career Opportunity Highly regarded and valued for your Quality/Risk Director expertise Are you seeking a career that not only utilizes your skills bu...
  • 2 Days Ago

E
Director of Quality and Risk
  • Encompass Health
  • , LA FULL_TIME
  • Quality/Risk Director Career OpportunityHighly regarded and valued for your Quality/Risk Director expertiseAre you seeking a career that not only utilizes your skills but also aligns with your persona...
  • 6 Days Ago

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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

A
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

B
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

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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

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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

J
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

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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

K
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

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$144,177 to $206,049

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