Claims Quality Audit Manager jobs in Yakima, WA
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)
Recently Added Claims Quality Audit Manager jobs
- Legends Casino Hotel
-
Toppenish, WA
FULL_TIME
-
Shift:Days
Job Announcement Number:YLC-24-061
Division:Finance Audit
Employment Status:Full-Time Regular
Starting Salary:DOE
Department:Finance
JOB DESCRIPTION:
JOB SUMMARY: Under the direction of the Controller, and with the assistance of the Revenue Audit Supervisor, manages Revenue Audit and Soft Count. Directly supervises the Revenue Audit Supervisor and Soft Count Supervisor. In absence of the Controller, may take on certain duties of the Controller as assigned. Ensures the operations of Revenue Audit and Soft Count are in compliance with Tribal Ordinances, State Compact, TICS, SICS, NIGC, and policies and procedures.
SPECIFIC DUTIES PERFORMED:This list of tasks is illustrative ONLY and is not a comprehensive listing of all functions and tasks performed by positions in this class. It does not imply that all positions within the class perform all of the duties listed, nor does it necessarily list all possible duties that may be assigned.
- Ensure and maintain compliance with all ordinances, laws and other communicated expectations including but not limited to: NIGC Regulations, Yakama Gaming Ordinance, State Gaming Compact, Tribal Internal Controls and other communications from regulatory personnel.
- Directly supervises and provides leadership to Revenue Audit and Soft Count.
- Ensures Revenue Audit and Soft Count staff complies with Tribal Ordinances, State Compact, TICS, SICS, NIGC and policies and procedures.
- Oversees management and coordination of Revenue Audit and Soft Count staff training (including cross training on tasks/audits) and professional development.
- Ensures proper coordination, scheduling, and rotation of Revenue Audit and Soft Count staff to effectively complete duties and insure adequate coverage of tasks/audits on a seven-day a week basis.
- Ensures Revenue Audit staff maintains compliance with any deadlines required in completing their audits.
- Ensures audits are fully completed and documented, audit checklists and/or review checklists are completed, audits are reviewed and corrections made, exception reports issued for Revenue Audit staff and other departments and properly filed on a daily basis.
- Must have a thorough knowledge of all audits and tasks performed by the Revenue Audit Supervisor, Lead Revenue Auditors, and Revenue Auditors.
- Ensures Soft Count timely completes daily counts, counts are fully completed and documented, documents are reviewed, corrections made, and delivered in a timely manner.
- Will review audits in absence of Revenue Audit Supervisor and/or Lead Revenue Auditors or as needed.
- Ensure that all vendors are licensed in compliance with licensing requirements of TGA.
- Continually evaluates and implements effective process improvement methodologies across all areas of responsibilities to increase effectiveness of Revenue Audit and Soft Count operations.
- Familiar with and fairly enforces all policies and procedures contained within the Team Member Handbook.
- Visible, available, and present for their team.
- Builds relationships inside and outside of their department / team to improve ways of working and provide a great guest experience.
- Models for the team, a strong work ethic and is visible, available and present for the guest and their team.
- Identifies ways to improve workflows and processes to work smarter and increase efficiency.
- Moves the situation quickly toward resolution by efficiently managing and controlling the circumstances.
- Explains the “why” behind the resolution or action for the guest.
- Pays attention to detail and conducts thorough research to make the best decision for the guest and the business.
- Makes judgment calls based on understanding Legends Casinos’ Purpose, Values and Objectives while utilizing research, knowledge, and experience.
- Proactively shares guest feedback with executive management and peers in the spirit of continuous improvement.
- Seeks to share and improve processes and workflows based on guest feedback.
- Finds ways to make good use of their strengths and talents.
- Work schedule includes weekends and holidays.
Revised 03/22
JOB REQUIREMENTS:
SUPERVISION EXCERCISED: Revenue Audit Supervisor and Soft Count Supervisor.
LICENSE REQUIRED: Must obtain and hold a Class III gaming license while employed and complete an annual background check with TGA.
MINIMUM EDUCATION REQUIRED FOR POSITION: HS Diploma or GED required. B.A. or B.S. or equivalent in finance or accounting preferred, or equivalent combination of education and work experience.
PHYSICAL REQUIREMENTS: Manual and finger dexterity for operation of personal computer and routine paperwork. Ability to sit for extended length of time. Able to lift up to 50 lbs.
SPECIFIC SKILLS/KNOWLEDGE/EXPERIENCE REQUIRED FOR POSITION: Minimum 5 years management or supervisory experience in finance or accounting. Previous Revenue Audit management or supervisory experience in a Casino environment highly desirable. Demonstrated positive management and supervisory skills and experience. Proven skills in developing a productive team environment. Excellent Excel spreadsheet skills. Ten key by touch.
- 1 Month Ago
- Wilbert Precast, Inc.
-
Yakima, WA
FULL_TIME
- Wilbert Precast, Inc. is looking for a Quality Control and Yard manager to lead the organization and efficiency of its quality control department and yard organization. This role requires a highly det...
- 22 Days Ago
- GovGig
-
Entiat, WA
FULL_TIME
- The Quality Control Manager is responsible for implementing and maintaining the quality control plan as required and is responsible for the overall quality control for the project.Key Responsibilities...
- 26 Days Ago
- CMTS LLC
-
Malaga, WA
FULL_TIME
- Every day at CMTS, we undertake impactful infrastructure projects that positively impact lives and communities. CMTS has an extensive 35-year industry experience, which ensures a strong foundation for...
- 1 Month Ago
- Darigold, Inc.
-
Sunnyside, WA
FULL_TIME
- Darigold is seeking an experienced and driven Quality Assurance Assistant Manager to be a part of Darigold’s Sunnyside team. The Quality Assurance Assistant Manager must possess the desire and ability...
- 9 Days Ago
- Clayco
-
Quincy, WA
FULL_TIME
- Senior Quality Manager (Northwest) The Senior Quality Manager is responsible for the overall management, direction, implementation, and improvements of CLAYCOS Quality Assurance and Quality Control pr...
- 1 Month Ago
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0 Claims Quality Audit Manager jobs found in Yakima, WA area
- Astria Health
-
Sunnyside, WA
- Description About Astria The Astria Health system, headquartered in the heart of the state of Washington's wine country ...
- 4/26/2024 12:00:00 AM
- Boise Cascade
-
Yakima, WA
- Boise Cascade Company has been in the business of manufacturing wood products and distributing building materials for ov...
- 4/26/2024 12:00:00 AM
- Department Of The Treasury
-
Yakima, WA
- Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
- 4/26/2024 12:00:00 AM
- Great Floors LLC
-
Yakima, WA
- Job Type Full-time Description JOB SUMMARY Currently seeking a Project Coordinator to add to our team to grow, maintain ...
- 4/24/2024 12:00:00 AM
- The J.M. Smucker Company
-
Grandview, WA
- TITLE Production Technician, Forklift operator Grandview, WA REPORTS TO Operations Manager SUMMARY Works in a variety of...
- 4/23/2024 12:00:00 AM
- Kroger
-
Yakima, WA
- Job Description Select and gather products for customers' on-line orders in the most efficient manner with attention to ...
- 4/23/2024 12:00:00 AM
- Nana Regional Corporation
-
Yakima, WA
- OverviewWork Where it MattersAkima Facilities Operations (AFO), an Akima company, is not just another federal facilities...
- 4/22/2024 12:00:00 AM
- Sams Club
-
Yakima, WA
- Responsibilities From every day needs to special occasions, members need you, as their mini tour guide, to take them tha...
- 4/22/2024 12:00:00 AM
About Yakima, Washington
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