Claims Quality Audit Director jobs in Nebraska

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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Manager/Director, Claims - Workers Comp
  • Markel Service Inc.
  • Omaha, NE FULL_TIME
  • What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The Manager/Director, Claims Operations is a strategic thinker who understands the big picture and is capable of articulating organizational goals and objectives; accountable and empowered to take necessary actions to further the initiatives of the Markel enterprise. The Manager/Director, Claims Operations is responsible for oversight of Claim Operations Supervisors, Lead Claims Technicians, Claims Analysts, and Claim Technicians; performance management and salary management of direct reports. The Manager is a coach and mentor; provides technical input to Claim Operations associates, as necessary. The Manager/Director, Claims Operations is a critical thinker, engages in independent analysis, and may make recommendations to the Senior Director, Claims WC on systems and workflow. The Outcome Statements will be measured through Senior Director observations, external and internal feedback, and Audits. Assess and evaluate individual performer and team performance, provide feedback and develop training needs. Assess and evaluate individual examiner and team performance, provide feedback and develop training needs Assist in preparation of budgets, evaluation of expenses and assess resource needs Direct and monitor assignments of new loss activity Ensure that team adheres to Fair Claims Practices regulations and internal Claims Quality Performance Objectives Foster and encourage strong relationships with internal stakeholders (UW, PL, Actuarial) Make recommendations concerning reserve changes to director or senior management. Participate in review and discussion of large loss activity with interested stakeholders (UW, PL, Actuarial, Executive Management) Participate in special projects as requested Prepare and distribute reports by collecting and summarizing information Promote and enhance strong relationships with customers and channel partners Review and approve correspondence and reports Review and approve reserves and settlements in excess of examiner’s authority Travel to other claim offices, mediations, trials, and conferences as required Work with CVMO on contract negotiations. Education Bachelor’s degree or equivalent work experience JD, advanced degree, or focused technical degree a plus Certification CPCU or successful achievement of other industry designations I-Lead or other Management Training Work Experience Minimum of 15 years of claims handling and management experience or equivalent combination of education and experience Successful completion of 5 years as a Manager Skill Sets Superior claims technical skills and a strong understanding for product lines being directed Ability to manage teams of seasoned managers and examiners responsible for handling a variety of claims Excellent written and oral communication skills Strong analytical and problem solving skills Strong organization and time management skills Ability to deliver outstanding customer service Strong desire for continuous improvement Who we are:   Markel Group (NYSE – MKL) a fortune 500 company with over 60 offices in 20 countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.   We’re all about people | We win together | We strive for better   We enjoy the everyday | We think further What’s in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees’ needs at all stages of life. All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.   Markel offers hybrid working schedules of 3 days in the office and 2 days remote.   Are you ready to play your part? Choose ‘Apply Now’ to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: All legitimate job postings with Markel will be posted on Markel Group Careers. All legitimate communications with Markel recruiters will come from Markel.com email addresses.   We would also ask that you please report any job employment scams related to Markel to rarecruiting@markel.com.   Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.    Should you require any accommodation through the application process, please send an e-mail to the rarecruiting@markel.com. No Agencies Please
  • 1 Month Ago

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Salesforce Administrator
  • Premier Claims
  • Omaha, NE FULL_TIME
  • Salesforce Administrator On-site | Omaha, NE | Reports to IT Director About Premier Claims We are building a diverse and collaborative culture at Premier Claims where remarkable people (like you) work...
  • 24 Days Ago

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Director of Quality Management
  • Smart IT Frame LLC
  • Omaha, NE FULL_TIME
  • Director of Quality Management / Senior Quality Analyst / CQI AnalystFacility Name: Mosaic - Omaha, NE Facility Address: Omaha, NE 68137Shift Information: Days Facility Salary: $65,000.00 to $75,000.0...
  • 2 Days Ago

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Director, Quality Assurance, CMSU
  • University of Rochester
  • Medicine, NE FULL_TIME
  • Opening Full Time 40 hours Range URG 116 Neuro-Ctr Health & Tech/CMSU Schedule 8 AM-5 PM; OCC WKNDSResponsibilitiesGENERAL PURPOSE:Oversees specific federal regulatory requirements to provide the Univ...
  • 3 Days Ago

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Associate Director Quality Control
  • Wapt
  • , NE OTHER
  • Overview This position is a key leadership role being responsible for the direct management of individual contributors, supervisors and managers. This position is a role model for the WuXi values and ...
  • 29 Days Ago

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Associate Director Quality Control
  • STA Pharmaceutical
  • , NE OTHER
  • Overview This position is a key leadership role being responsible for the direct management of individual contributors, supervisors and managers. This position is a role model for the WuXi values and ...
  • 30 Days Ago

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Director of Quality Control
  • RF Hiring Solutions
  • Director of Quality Control Reports To: Chief Executive Officer Summary: Director of Quality Control will ensure that th...
  • 6/11/2024 12:00:00 AM

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Senior Director of Quality Control
  • Ascend Advanced Therapies
  • Alachua, FL
  • Title: Senior Director of Quality Control Reporting to: VP Quality Location: Alachua, Florida, USA (On-site role) The Al...
  • 6/11/2024 12:00:00 AM

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Director of Quality Management
  • Select Medical Corporation
  • Gainesville, FL
  • Overview UF Health Rehab Hospital * In affiliation with Select Medical & UF Health* Gainesville, FL Director of Quality ...
  • 6/11/2024 12:00:00 AM

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Director of Quality Control
  • Kalon Executive Search for Health and Wellness
  • Los Angeles, CA
  • Our client, a health and wellness company are seeking a qualified Director of Quality Control to help build a solid, sta...
  • 6/10/2024 12:00:00 AM

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Director of Quality Control
  • Partnership Employment
  • New York, NY
  • Our client, a well-known fast casual chain, is looking to hire a Director of Quality Control in their Bronx office. Oppo...
  • 6/10/2024 12:00:00 AM

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Director of Quality Control
  • Kinetics
  • Durham, NC
  • Founded in 1973, Kinetics is a global full-service process and mechanical contractor specializing in the design and inst...
  • 6/10/2024 12:00:00 AM

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Director of Quality Control
  • ADAGE INNOVATIONS INC
  • Alexandria, VA
  • Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opport...
  • 6/10/2024 12:00:00 AM

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Director of Quality Management
  • Performance Contracting Group
  • Lenexa, KS
  • Company Overview: Performance Contracting Group is a national employee-owned specialty contractor that offers quality se...
  • 6/9/2024 12:00:00 AM

The state is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, across the Missouri River; Kansas to the south; Colorado to the southwest; and Wyoming to the west. The state has 93 counties and is split between two time zones, with the state's eastern half observing Central Time and the western half observing Mountain Time. Three rivers cross the state from west to east. The Platte River, formed by the confluence of the North Platte and the South Platte, runs through the state's central portion, the Niobrara River flows through the northern part, and the Rep...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$143,568 to $205,176

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