Claims Quality Audit Director jobs in Mesa, AZ

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)

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Claims Director- General Liability
  • Atlantic Casualty Insurance Company
  • Scottsdale, AZ FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been certified a “Great Place to Work” for the last 3 years and on Fortune’s “Best Place to Work” list of the top 100 best small and medium companies to work.

    With offices in Goldsboro, NC; Hartford, CT; Scottsdale, AZ; Richmond, VA; Atlantic Casualty has authority in fifty states and Washington, DC. We value our employees and believe embracing diversity of thought aides in fostering a culture of belonging; where all are seen, heard, and valued. At Atlantic Casualty, we are family! We care about our associates physical, emotional, and professional health and emphasize wellness benefits, charity, and training programs offered. We offer employee development opportunities through Cornerstone Learning Management System, Franklin Covey, the Institutes and Pluralsight.

    Benefits of Atlantic Casualty include:

    • Health, Dental, Vision, and Pet Insurance
    • 401(k) Plan Company Match
    • Student Loan Assistance and Tuition Reimbursement
    • Parental Leave
    • Career Growth and Opportunities for Promotions

    Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.

    www.atlanticcasualty.net/about-acic/our-careers/


    SUMMARY:
    Assists with the management of the claims department. Manages complex claim files and manages personnel in the unit to assure claim processing in a prompt, professional and efficient manner in accordance with company guidelines and procedures. Reviews claim files.

    ESSENTIAL DUTIES AND RESPONSIBILITIES:
    • Responsible for hiring, coaching, training, and evaluating claims managers.
    • Responsible for the implementation of new directives and initiatives.
    • Responsible for establishing and managing yearly performance goals.
    • Responsible for assisting with the implementation of new operating systems.
    • Aid the VP in managing the claims department with duties as assigned.
    • Assist and direct the examiners/adjusters in the proper investigation of coverage and liability issues and extend settlement authority to the examiners / adjusters to effect accurate, timely, cost-effective claims handling.
    • May manage the claims support staff as needed.
    • Gives technical direction to both managers and staff adjusters
    • Administratively responsible for supervising managers.
    • Manages the use of independent adjusters and maintains the approved list of vendors.
    • Manage litigation, rental, subrogation, and salvage to ensure cost effective returns.
    • Furnish appropriate weekly and monthly management reports.
    • Ensure Large Loss Reports and Reinsurance Reports are completed as needed.
    • Assist in training and developing staff.
    • Read and interpret insurance contracts.
    • Conduct monthly quality control reviews of adjusters’ claim files as needed.
    • Ensure employee objectives, performance and evaluations are consistent with department goals and objectives.
    • Manage full responsibility regarding training and development of staff, managing performance, resolving conflicts and problems, distributing work, checking work.
    • Make recommendations regarding hiring, salary increases, terminating employees, promoting employees.
    • Daily contact with the VP Claims, examiners, adjusters, insureds, claimants, attorneys, vendors, agents, and department managers.
    • Maintain contact with auditors and government / regulatory agencies.
    • Deal with and have access to information that is important and must be kept confidential.
    • Perform other similar or related duties as assigned.

    REQUIRED EDUCATION / EXPERIENCE:
    • Four-year degree from an accredited institution.

    • Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.

    • Basic understanding of accounting principles, construction, underwriting, marketing, and auto physical damage estimating.

    • Ten years successful claims handling including advanced skills in coverage, investigation, negotiation, salvage, and subrogation. Three to five years’ experience as a supervisor or Manager.

    • Three to five years’ experience with multi-line claims with heavy emphasis on Commercial GL is a plus.

    • Three to five years’ experience with multi-state responsibilities is a plus.

    • Excess and Surplus lines experience is a plus.


    REQUIRED SKILLS:
    • Knowledge of medical terms and legal issues.

    • Excellent computer skills.

    • Advanced communication skills are required to understand, interpret, and convey technical information.

    • Excellent time management skills.

    • Knowledge of the litigation process and procedures.

    • Knowledge of coverage, investigation, negotiation, salvage, subrogation, construction, and auto physical damage.

    • A resident adjuster’s license in North Carolina.

    • A non-resident adjuster’s license where required in the states where we do business.


    MENTAL REQUIREMENTS:
    Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations.

    PHYSICAL REQUIREMENTS:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may infrequently lift and/or move up to 25 pounds, sometimes as much as 50 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

    WORK ENVIRONMENT:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Works indoors at a cubicle with a computer. The noise level in the work environment is usually moderate. Works primarily indoors. Requires the ability to drive a vehicle, overnight travel, and occasional air travel.

    TRAVEL:
    5%

    "Atlantic Casualty Insurance Company is an equal opportunity employer"
  • 22 Days Ago

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Senior Director, Healthcare Internal Audit
  • panoramic
  • Arizona, AZ FULL_TIME
  • Panoramic Health is hiring a Senior Director, Internal Audit. Our Senior Director, Internal Audit is a strategic leader responsible for overseeing internal audit and risk management processes within P...
  • 15 Days Ago

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Quality Management- Quality Audit Administrator- Partially Remote 01039
  • CBI logo
  • Mesa, AZ FULL_TIME
  • Community Bridges, Inc. (CBI) is the premiere non-profit fully integrated healthcare provider of substance use and behavioral health programs in Arizona, including prevention, education and treatment ...
  • 1 Month Ago

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Audit Manager, Executive Director - Capital Management
  • Wells Fargo
  • Chandler, AZ FULL_TIME
  • About this role: Wells Fargo is seeking an Audit Manager, Executive Director on the Capital Audit Team which focuses on oversight of capital management and compliance with supervisory guidance and int...
  • 20 Days Ago

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Data Analytics - Audit Manager Executive Director
  • Wells Fargo
  • Chandler, AZ FULL_TIME
  • About this role: Wells Fargo is seeking an Audit Manager - Executive Director (Data Analytics) on the Chief Operating Office (COO) Audit team supporting Data Management & Insights. This Audit Manager ...
  • 27 Days Ago

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Quality Assurance Director (Nutraceuticals)
  • Gummi World
  • Chandler, AZ FULL_TIME
  • Gummi World is a fast-growing nutraceutical manufacturer based in Chandler, Arizona. We strive to deliver the highest quality vitamin supplement products to our clients and maintain long-standing rela...
  • 9 Days Ago

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0 Claims Quality Audit Director jobs found in Mesa, AZ area

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Director of Quality Management
  • Select Specialty Hospital - Phoenix
  • Phoenix, AZ
  • Overview: Critical Illness Recovery Hospital Director of Quality Management $10,000 Sign-On Bonus At Select Specialty/Re...
  • 4/26/2024 12:00:00 AM

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Production Control Clerk
  • AerSale Corporation
  • Goodyear, AZ
  • Who we are: AerSale is a global leader and market innovator specializing in aviation products and services to meet the g...
  • 4/26/2024 12:00:00 AM

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Quality Assurance Manager
  • QISG
  • Scottsdale, AZ
  • General Description The QA/QC Manager is responsible for monitoring and auditing a project's quality management requirem...
  • 4/26/2024 12:00:00 AM

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Quality Assurance Manager
  • Quanta Infrastructure Solutions Group
  • Scottsdale, AZ
  • General Description The QA/QC Manager is responsible for monitoring and auditing a project’s quality management requirem...
  • 4/24/2024 12:00:00 AM

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Sr Construction Quality Control Manager
  • Fluor Corporation
  • Chandler, AZ
  • Job Description This position may be assigned to one of the Operation Centers or to a specific project. The Principal Jo...
  • 4/24/2024 12:00:00 AM

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Records Supervisor
  • Mesa Airlines
  • Mesa, AZ
  • Job Description The Records Analyst Supervisor reports to the Manager of Technical Records and is responsible for oversi...
  • 4/24/2024 12:00:00 AM

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Global Construction Quality Director
  • Microsoft Corporation
  • Phoenix, AZ
  • Microsoft's Cloud Operations + Innovation (CO+I) organization is the engine that powers our cloud services. Our Data Cen...
  • 4/23/2024 12:00:00 AM

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Shift Leader
  • MAD Greens
  • Mesa, AZ
  • Restaurant Shift Supervisor is where the fun really starts. It's a launching point into the management positions at MAD ...
  • 4/22/2024 12:00:00 AM

Mesa (/ˈmeɪsə/ MAY-sə) is a city in Maricopa County, in the U.S. state of Arizona. It is a suburb located about 20 miles (32 km) east of Phoenix in the East Valley section of the Phoenix Metropolitan Area. It is bordered by Tempe on the west, the Salt River Pima-Maricopa Indian Community on the north, Chandler and Gilbert on the south along with Queen Creek, and Apache Junction on the east. Mesa is the largest suburban city by population in the United States, the third-largest city in Arizona after Phoenix and Tucson, and the 36th-largest city overall in the US. The city is home to 496,401 pe...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$149,787 to $214,065
Mesa, Arizona area prices
were up 2.2% from a year ago

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