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)
Responsibilities:
Specialized or Technical Knowledge, or Education and Experience:
Physical Requirements: Limited lifting, no greater than 30 pounds in the movement of office materials and equipment. Hand and finger dexterity for use of keyboard skills; ability to use video display terminal and telephonic equipment in course of work.
Environmental Conditions: Largely performs duties in an inside administrative office environment. Will visit work locations where PPE is required
Major or Unusual Problems: Rapidly expanding company is increasing the workload and therefore speed and accuracy of report generation must keep pace with the growing needs and expectations of the position. Confidentiality is a must.
Job Dimensions: Performs duties without direct supervision.
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