Claims Quality Audit Manager manages the claims quality auditors and daily activities of quality claims audit function. Reviews and tracks claims quality audit reports and measures performance of auditors. Being a Claims Quality Audit Manager provides assistance in developing claims audit policies and procedures. May provide coaching in complex claims audit. Additionally, Claims Quality Audit Manager typically requires a bachelor's degree. Typically reports to a director or head of a department. The Claims Quality Audit Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Quality Audit Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Description
SUMMARY: Liaison between partners, directors, professional staff, and clients; responsible for managing multiple client engagements simultaneously by scheduling, staffing, and coordinating engagement workflow; provides training and feedback to team members and develops relationships to generate new business for the firm by performing the following duties.
DUTIES AND RESPONSIBILITIES:
Client Service & Technical
Client Relationships & Development
Leadership & Administration
COMPETENCIES:
SUPERVISORY RESPONSIBILITIES:
Supervises lower-level Audit staff. Carries out supervisory responsibilities in accordance with the Firm’s policies and applicable laws. Responsibilities may include training employees; planning, assigning, and overseeing work; appraising performance; recognizing employees and offering constructive criticism; addressing complaints and resolving problems.
Requirements
QUALIFICATIONS:
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 ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience:
Bachelor’s degree from four-year college or university in Accounting with strong academic track record (minimum GPA of 3.0); CPA certification required; six years current and/or recent public accounting audit experience required; supervisory experience required.
Computer Skills:
To perform this job successfully, an individual should be proficient in Microsoft Word and Microsoft Excel, as well as have working knowledge of office equipment, computer hardware and peripheral devices. Proficient with computer audit applications and technology as well as Firm software applications and procedures. Proficient with on-line research products.
Other Skills:
To perform this job successfully, an individual should have working knowledge of Generally Accepted Accounting Principles (GAAP), Statements on Auditing Standards (SAS), and audit procedures.
Firm Culture/Client Service:
Promotes the firm’s culture, including supporting Heard, McElroy & Vestal’s philosophy of developing a relationship with each client on a personal level, catering to their specific needs. Ability and judgment to interact and communicate appropriately with other employees, clients and management. Actively develops team members at all levels. Ability to serve clients, both internal and external (community/public) in a manner that will support superior client relations.
Physical Demands/Work Environment:
While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to walk or use hands to finger, handle, or feel. The employee is occasionally required to stand; reach with hands and arms and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The noise level in the work environment is usually quiet.
This job description reflects management’s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. Heard, McElroy & Vestal shall, in its discretion, modify or adjust the position to meet the Firm’s changing needs. This job description is not a contract and may be adjusted as deemed appropriate in the Firm’s sole discretion.
Heard, McElroy & Vestal is an Equal Opportunity Employer. We actively seek and employ qualified persons in all job classifications and administers all personnel actions without regard to race, color, religion, age, gender or sex (including pregnancy), national origin, ancestry, marital status, non-job related disability, veteran/military status, genetic information, gender identity, sexual orientation or any other characteristic protected by applicable federal, state or local law.
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