Claims Quality Audit Director jobs in Saint Louis, MO

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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Director of Claims
  • Missouri Employers Mutual
  • Cape Girardeau, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual.

    At MEM, we’ve created a casual, values-driven work culture that’s making a
    positive impact on the way people live and work. We offer a hybrid work model,
    with positions to accommodate the changing needs of today’s employees. Our
    team enjoys a variety of different work environments, which allows for more
    flexibility, less time spent commuting, and greater ability to address personal and
    family needs. This is a place where you can grow with confidence – because
    that’s what safety and success really mean to us.

    MEM is headquartered in Columbia, MO, and our virtual team serves our
    policyholders and partners from across the U.S.

    JOB PURPOSE
    The Director of Claims is integral in steering the strategic direction and
    operational excellence of the claims department at MEM. Responsibilities for this
    role include leading a team of claims professionals, partnering with executive
    leadership to develop and execute strategies that drive towards overall claims
    risk management and mitigation, while driving a focus to continuously improve
    return to work and claim outcomes.

    This further includes monitoring and enhancing quality assurance and technical
    training programs, in accordance with MEM strategic objectives. Leadership at
    this level will drive the team towards efficiency, effectiveness, and high-quality
    service delivery, ensuring the company's competitive edge in the workers'
    compensation insurance market.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    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/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    Leadership and Direction
    Identify and communicate the actions needed to implement the function's
    strategy and business plan within the business area or department; explain the
    relationship to the broader organization's mission, vision, and values; motivate people to commit to these tenets and do extraordinary things to achieve
    business goals.
    Policy Development and Implementation
    Oversee the development of policies and procedures to ensure consistent and
    efficient implementation of best practices.
    Resource Allocation
    Prioritize and allocate resources based on complexity and risk, so that the team
    can operate efficiently and ensure high quality service and outcomes.
    Relationship Management
    Oversee agent and policyholder relationships to ensure effective communication
    and realization of customer value. This also includes regular cross-functional
    partnerships with units across the business (e.g., SRS, CompLegal).
    Team Management
    Provide support to team members to enable effective delivery of services
    according to expected standards. Includes leading in the areas of performance
    management, coaching, and identifying development needs.
    Performance Management
    Help establish and monitor department metrics and key performance indicators
    to drive action and results. Manage and report on the performance of the
    department; set appropriate performance objectives for direct reports and
    departmental teams and hold individuals accountable for achieving them; take
    appropriate corrective action where necessary to ensure the achievement of
    team/individual objectives.
    Solutions Analysis
    Develop innovative solutions by integrating and analyzing complex and diverse
    information sources and market trends.
    Regulatory and Compliance Management
    Ensure appropriate processes and controls are in place to comply with legal and
    regulatory requirements.
    Organizational Capability Building
    Use the organization's formal development framework to identify the team's
    individual development needs. Plan and implement actions, including continuing
    professional development specified by professional or regulatory institutions, to
    build their professional capabilities. Provide informal training or coaching to
    others throughout the organization in own area of expertise to enable others to
    improve performance and fulfill personal potential.
    Budgeting
    Develop and manage an operational budget that aligns with the company
    strategy and priorities.

    QUALIFICATIONS:
    Education:
    Bachelor's Degree or Equivalent Experience

    Experience:
    10 years workers compensation claims experience
    10 years management experience

    Our home office is located in vibrant Columbia, Missouri — #6 in Livability’s 2019 Best Places to Live.
  • Just Posted

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Director of Claims
  • Missouri Employers Mutual
  • Columbia, MO FULL_TIME
  • JOB PURPOSE The Director of Claims is integral in steering the strategic direction andoperational excellence of the claims department at MEM. Responsibilities for thisrole include leading a team of cl...
  • 3 Days Ago

N
Director, Claims
  • nimble
  • Chesterfield, MO FULL_TIME
  • Description We are excited to talk to you about what nimble solutions does and the impact nimble has on our employees, clients, and the healthcare community. Nimble solutions has over 20 years of spec...
  • 1 Month Ago

R
Assistant Director, Audit
  • RGA
  • Chesterfield, MO FULL_TIME
  • Position Overview RGA’s culture stresses high performance and collaboration, and the company hires the smartest people in the industry. And, the smart people they hire are not just number crunchers. R...
  • 21 Days Ago

I
Titles Specialist (Vehicle Insurance Claims)
  • Innovative Claims Service
  • Brentwood, MO FULL_TIME
  • The Current Opportunity Innovative Claims Services, a progressive industry leader that provides comprehensive and tailored services for the insurance and transportation industries, is seeking a Titles...
  • 2 Days Ago

S
Director Reinsurance Claims (Remote)
  • SN Branding
  • Saint Louis, MO FULL_TIME
  • Stop searching. Start growing. It’s time to build a meaningful career where you can grow, your ideas can thrive, and you are recognized and valued. Join a team committed to your excellence, and apply ...
  • 1 Day Ago

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0 Claims Quality Audit Director jobs found in Saint Louis, MO area

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Director of Quality
  • Hiring Now!
  • Saint Louis, MO
  • Description:As Quality Assurance Director, you will be responsible for overseeing all aspects of Quality Assurance and S...
  • 4/17/2024 12:00:00 AM

H
Quality Assurance Manager
  • Hiring Now!
  • Saint Louis, MO
  • A Growing & Dynamic Food Manufacturing company is in search of a Quality Assurance Manager for their facility in IL. The...
  • 4/17/2024 12:00:00 AM

M
Quality Program Manager
  • Mazzella Companies
  • Saint Louis, MO
  • Job Description Job Description Quality Program Manager (Regional positon) The Quality Program Manager is an integral pa...
  • 4/17/2024 12:00:00 AM

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Assembly Lead
  • Barry-Wehmiller
  • Saint Louis, MO
  • About Us: Design Group operates from more than 45 offices in the United States and India, providing engineering, consult...
  • 4/16/2024 12:00:00 AM

T
Quality Control Manager
  • TechnoSphere, Inc.
  • Fenton, MO
  • Role: Quality Control Manager Location: Fenton MO (onsite) Duration: Full time Employee Job summary: The Manager, Qualit...
  • 4/16/2024 12:00:00 AM

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RN Director of Quality -Traveler
  • Ascension Health
  • Saint Louis, MO
  • Details * Department: Ascension Living - Associate Travel Program * Schedule: Full-time, Days * Facility: Multiple Ascen...
  • 4/15/2024 12:00:00 AM

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RN Director of Quality -Traveler
  • Ascension
  • Saint Louis, MO
  • Details Department: Ascension Living - Associate Travel Program Schedule:Full-time, Days Facility: Multiple Ascension Li...
  • 4/15/2024 12:00:00 AM

C
Production Supervisor
  • Challenge Unlimited Inc
  • Saint Louis, MO
  • At Challenge Unlimited, our vision is to become a national leader in providing employment services to people with disabi...
  • 4/15/2024 12:00:00 AM

St. Louis (/seɪnt ˈluːɪs/) is an independent city and major inland port in the U.S. state of Missouri. It is situated along the western bank of the Mississippi River, which marks Missouri's border with Illinois. The Missouri River merges with the Mississippi River just north of the city. These two rivers combined form the fourth longest river system in the world. The city had an estimated 2017 population of 308,626 and is the cultural and economic center of the St. Louis metropolitan area (home to nearly 3,000,000 people), which is the largest metropolitan area in Missouri, the second-largest ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$148,422 to $212,115
Saint Louis, Missouri area prices
were up 0.7% 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