Claims Quality Audit Director jobs in Passaic, NJ

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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Complex Claim Director, General Liability
  • AIG Claims, Inc.
  • Parsippany, NJ FULL_TIME
  • Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets, manage risks and provide for retirement security. Get to know the business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying times. When our clients face losses large and small, we step up to help them ease the financial burdens of catastrophic events like fires and hurricanes; we help them get their businesses back up and running again or recoup the value of a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on its unparalleled levels of expertise to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of technical and market knowledge about risks, business practices, and the ever-evolving legal and regulatory environment. About the role Complex Claim Director-Western World The Complex Claims Director will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices and specific client service requirements. What you need to know: Analyze and process general liability property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Determine need for and direct independent adjusters to gather information to determine exposure on the claim and control their costs. Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary. Assess liability and resolve claim within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Process and pay invoices within a timely manner. Coordinate vendor referrals for additional investigation and/or litigation management. Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim. Refer case as appropriate to supervisor and management. Respond to requests or directions in a professional and timely manner. Attend arbitrations, mediations, settlement conference and trials. Successfully complete required State licensing examinations and continuing education requirement. What we’re looking for: 10 years of General Liability claims experience Experience with complex and high exposure General Liability Bodily Injury claims. Excellent communication skills (verbal/written) and strong negotiation skills Advanced experience and capabilities in litigation claims management, including ADR and mediation processes, involving auto/GL exposures Experience attending and controlling cases at mediations/settlement conferences, pre suit, post suit, pretrial and post-trial New York and/or Texas adjuster license strongly preferred Motivated individuals who are interested in the potential for an upwardly mobile career path #LI-NH1 Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks. It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of belonging We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com. Functional Area: CL - Claims Estimated Travel Percentage (%): Up to 25% Relocation Provided: No AIG Claims, Inc. At AIG, helping people discover new potential is our purpose. As a global risk leader, we do this for our clients every day. Through our deep expertise in their industries and our innovative solutions that help them smartly manage risk, we enable their growth in ways they never thought possible. But we also do the same thing for our employees, because we know our people are our greatest strength-the source of every insight, every idea and every innovation. When we're working as one team to do what's right for our colleagues and our communities, we can achieve excellence together. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Join our Talent Network . Additional information about AIG can be found at www.aig.com | YouTube | Twitter | LinkedIn.
  • 1 Month Ago

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Audit Director, Nonprofit
  • Aprio
  • Fairfield, NJ FULL_TIME
  • Work with a nationally ranked CPA and advisory firm that is passionate for what's next. Aprio has 22 U.S. office locations, one in the Philippines and more than 2,100 team members that speak 60 langua...
  • 7 Days Ago

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Claims Analyst lll, General Liability
  • AIG Claims, Inc.
  • Parsippany, NJ FULL_TIME
  • Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualt...
  • 1 Month Ago

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Director Quality and Quality Management Systems
  • Impact Solutions Inc
  • Parsippany, NJ FULL_TIME
  • If you want to be a part of a team that is passionate and dedicated to saving lives threatened by the global public health crisis of infections, then this top tier company might be the right place for...
  • 23 Days Ago

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Quality Director (804)
  • Röhm
  • Parsippany, NJ FULL_TIME
  • Director, Quality Location: Parsippany NJ, United States (US) Job Function: Supply Chain Management Career Level: Professionals Company: Roehm America LLC WHAT WE OFFER Röhm is a leading supplier of m...
  • 1 Day Ago

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Director, Quality System Compliance
  • Teva Pharmaceuticals
  • Parsippany, NJ FULL_TIME
  • Apply now » Director, Quality System Compliance Date: Apr 10, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 55102 Who we are Together, we’re on a mi...
  • 7 Days Ago

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0 Claims Quality Audit Director jobs found in Passaic, NJ area

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Director of Quality Initiatives
  • NYC Health + Hospitals/Correctional Health Services
  • New York, NY
  • NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma ...
  • 4/19/2024 12:00:00 AM

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Director Quality, Safety and Regulatory
  • RWJ Somerset
  • Somerville, NJ
  • Director for Quality, Safety and Regulatory Education RN License in New Jersey, BSN, master's degree preferred, Professi...
  • 4/19/2024 12:00:00 AM

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Director of Quality
  • Horizon Group USA, Inc.
  • Warren, NJ
  • Job Description Job Description Please note, this role is based on a hybrid capacity from our Warren, NJ office and will...
  • 4/18/2024 12:00:00 AM

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Associate Director Quality Assurance
  • NYC Health + Hospitals
  • New York, NY
  • About NYC Health + Hospitals: Since 1875, South Brooklyn Health has established its reputation for clinical excellence a...
  • 4/17/2024 12:00:00 AM

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Director of Quality Initiatives
  • NYC Health + Hospitals/Correctional Health Services
  • New York, NY
  • NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma ...
  • 4/16/2024 12:00:00 AM

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Director/Senior Director, Quality Control
  • Lexeo Therapeutics
  • New York, NY
  • Role Summary Reporting to the Executive Director of Analytical Development and Quality, the Director of Quality Control ...
  • 4/16/2024 12:00:00 AM

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Quality Control Lab Technician
  • JCS Family
  • Saddle Brook, NJ
  • Job Description Job Description The QC Lab Technician is responsible for preparing raw material and bulk material sample...
  • 4/16/2024 12:00:00 AM

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Director of Quality Assurance - New York
  • Galaxy
  • New York, NY
  • Who We Are: At Galaxy we are building products and services to help the world invest in economic progress. We believe cr...
  • 4/15/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 3.244 square miles (8.401 km2), including 3.146 square miles (8.149 km2) of land and 0.098 square miles (0.253 km2) of water (3.01%). Unincorporated communities, localities and place names located partially or completely within the city include Davis Bridge and Pleasant Plains. Passaic's only land border is with neighboring Clifton, which borders Passaic to the north, south, and west. The Passaic River forms the eastern border of Passaic. Four additional neighboring towns in Bergen County immediately across the river fr...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$174,498 to $249,382
Passaic, New Jersey area prices
were up 1.5% 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