Claims Quality Audit Manager jobs in Rochester, NY

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)

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Claims Manager
  • Erie Insurance
  • Rochester, NY FULL_TIME
  • Division or Field Office:
    New York Branch Office


    Department of Position:
    Claims Department


    Work from:
    New York Branch Office

    Salary Range:
    $100,251.00 - $160,141.00 *
    salary range is for this level and may vary based on actual level of role hired for

    • This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.

    At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.

    Benefits That Go Beyond The Basics
    We strive to be Above all in Service® to our customers—and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including:
    • Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work.
    • Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs.
    • Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.
    • 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.
    • Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave.
    • Career development. Including a tuition reimbursement program for higher education and industry designations.
    Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.

    Position Summary
    Manages the activities of assigned supervisors and personnel for one or multiple lines of business. Also develops, implements and maintains workflow, claims processes and new systems.

    • This Is an in office position working from the Rochester, NY Branch
    • Ideal candidate will live within a reasonable driving distance from the Rochester, NY Office
    • Ideal Candidate will have experience in Multi-line business (Material Damage, property, liability) management
    Duties and Responsibilities
    Manages overall operations of designated area of authority. Interviews, hires, trains and directs personnel. Prepares and conducts performance assessments, coordinates discipline and oversees Employee development as required.
    Reviews claims correspondence and maintains working knowledge of files and reserves as necessary. Counsels claims personnel on further activity.
    Resolves coverage or unusual questions within designated authority. Conducts related research as necessary.
    Responds to claim complaints and inquiries from Policyholders and claimants.
    Assists the VP, Field Claims in the supervision of various claims processes and procedures.
    Makes recommendations to and participates with claims manager in developing and evaluating claims procedures.
    Ensures proper staffing. Coordinates vacations, meetings, seminars and other related activities.
    Evaluates and monitors equipment needs of the field office. Works to acquire items essential to claims operations.
    Interacts with branch management and Agents and assists or acts on behalf of the VP, Field Claims when necessary.
    Duties and Responsibilities (cont'd if applicable)
    Where applicable, directs salvage disposal. Review reports, payments and buyers and negotiates salvage contracts.
    Where applicable, approves stated value appraisals.
    The first four duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.
    This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident.
    Competencies
    Collaborates (Leader)
    Self-development (Leader)
    Customer Focus (Leader)
    Instills Trust (Leader)
    Persuades (Leader)
    Decision Quality (Leader)
    Drives vision and purpose (Leader)
    Cultivates Innovation (Leader)
    Nimble Learning (Leader)
    Develops Talent (Leader)
    Plans and Aligns (Leader)
    Values Diversity (Leader)
    Ensures Accountability (Leader)
    Optimizes Work Processes (Leader)
    Qualifications

    High school diploma, or GED, required. Bachelor's degree preferred. Seven years of claims adjusting experience, or related experience, required. Completion of Associate in claims (AIC) designation preferred. Claims supervisory experience preferred. Willingness to obtain and maintain any required licenses. Valid driver's license required. Where applicable, the position requires the incumbent to serve on the Catastrophe Team, which may include travel on short notice to other locations for periods in excess of two consecutive weeks.


    #LIKS1
    Physical Requirements
    Lifting/Moving 0-20 lbs; Occasional (<20%)
    Lifting/Moving 20-50 lbs; Occasional (<20%)
    Ability to move over 50 lbs using lifting aide equipment; Occasional (<20%)
    Driving; Often (20-50%)
    Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%)
    Manual Keying/Data Entry/inputting information/computer use; Often (20-50%)
    Climbing/accessing heights; Rarely


    Nearest Major Market: Rochester

  • Just Posted

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Audit/Tax Supervisor/Manager
  • NOVOCO
  • Rochester, NY FULL_TIME
  • Position Summary Novogradac & Company LLP is searching for a Manager to join our fast-growing firm. The Manager will manage a variety of tax, audit and other assignments as designated by the Principal...
  • 7 Days Ago

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Internal Audit Manager
  • Eightfold
  • Rochester, NY FULL_TIME
  • Salary Range: $108,000 - $122,000PRIMARY RESPONSIBILITY:This position is responsible for planning and conducting risk-based internal audits in accordance with the annual audit plan. In addition, this ...
  • 11 Days Ago

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Internal Audit Manager
  • Genesee Regional Bank
  • Rochester, NY FULL_TIME
  • Salary Range: $108,000 - $122,000 PRIMARY RESPONSIBILITY: This position is responsible for planning and conducting risk-based internal audits in accordance with the annual audit plan. In addition, thi...
  • 28 Days Ago

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Quality Manager
  • SOS International LLC
  • Batavia, NY FULL_TIME
  • Overview *** This position is contingent upon contract award *** SOSi is seeking a highly qualified Quality Manager to join our team supporting Health Services operations in Batavia, NY. Responsibilit...
  • 23 Days Ago

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Quality Manager
  • Alliance Precision Plastics
  • Rochester, NY FULL_TIME
  • Description:Quality manager acts as management representative for ISO standards and oversees the implementation of these standards.*RESPONSIBILITIES*: Quality management representative for ISO/FDA/CGM...
  • 24 Days Ago

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0 Claims Quality Audit Manager jobs found in Rochester, NY area

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Quality Manager
  • Eastman Kodak Company
  • Rochester, NY
  • We are looking for a Quality Manager to join our Kodak team in the Life Sciences group in Rochester, NY to support a new...
  • 4/25/2024 12:00:00 AM

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Manufacturing Engineer
  • Rotork
  • Rochester, NY
  • Job Description This role will provide technical expertise, support and implement Production Engineering tasks. Responsi...
  • 4/25/2024 12:00:00 AM

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Production Supervisor
  • FastTek Global
  • Rochester, NY
  • Job Description: The energy at our company is contagious. We’re driven by our immense passion, as we constantly seek out...
  • 4/25/2024 12:00:00 AM

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Manufacturing Project Manager
  • Nesco Resource
  • Rochester, NY
  • We're seeking a dynamic Project Manager to join our client's team a few miles outside of Rochester, NY! As a key member ...
  • 4/24/2024 12:00:00 AM

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Process Supervisor
  • Arxada
  • Rochester, NY
  • Process Supervisor – Rochester, NY (onsite) Arxada is a global specialty chemicals business that’s committed to solving ...
  • 4/24/2024 12:00:00 AM

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Quality Control Manager
  • Coating Technology-Rochester NY
  • Rochester, NY
  • Job Description Job Description The Quality Manager will manage and lead the associates and facilities that support meta...
  • 4/24/2024 12:00:00 AM

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Quality Technician 1
  • Diamond Packaging
  • Rochester, NY
  • Job Description Job Description Diamond Packaging, a global leader specializing in developing innovative and sustainable...
  • 4/24/2024 12:00:00 AM

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Director of Quality Improvement & Incident Management
  • Catholic Charities Family & Community Services
  • Rochester, NY
  • Job Details Level Management Job Location 1099 Jay Street - Rochester, NY Position Type Full Time Education Level Bachel...
  • 4/23/2024 12:00:00 AM

Rochester is at 43°9′56″N 77°36′41″W / 43.16556°N 77.61139°W / 43.16556; -77.61139 (43.165496, −77.611504). The city is about 73 miles (120 km) east-northeast of Buffalo and about 87 miles (140 km) west of Syracuse and Albany, the state capital is 226 miles (360 km) to the east ; it sits on Lake Ontario's southern shore. The Genesee River bisects the city. Toronto, Canada is northwest 168 miles (270 km) and New York City is about 350 miles (560 km) to the southeast. According to the United States Census Bureau, the city has a total area of 37.1 square miles (96 km2), of which 35.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Manager jobs
$95,125 to $127,796
Rochester, New York area prices
were up 1.5% from a year ago

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On average, a Bachelor's Degree is the highest level of education for a Claims Quality Audit Manager.
January 04, 2020
Claims Quality Audit Manager in Kennewick, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Manager will increase 16 % over 5 years.
January 17, 2020