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)
WHO WE ARE
The South Carolina Education Lottery (“SCEL”) was formed in 2001, pursuant to the South Carolina Education Lottery Act (the “Act”). Operations commenced in early 2002, and since then SCEL has transferred over $8.4 billion to the State Treasurer to support education in South Carolina.
SCEL currently has 125 employees that are organized into ten departments: Executive Office, Finance, Human Resources, Information Technology, Legal, Licensing, Marketing, Product Development, Sales, and Security. A majority of SCEL’s employees report out of the Columbia Business Office & Claims Center. However, the field sales staff (approximately 45 employees) report out of their home office locations throughout the state, as their primary objective is to serve SCEL Retailers.
In Fiscal Year 2023, SCEL reported revenues of $2.4 billion. All sales are completed through a network of Retailers, the majority of which are convenience stores. Retailers sell SCEL lottery products and receive a commission of 7%. SCEL offers two types of products: Instant Tickets (“Scratch-Off” Games) and Terminal Game Tickets (“Draw Games”), which are numbers driven and are purchased by players through a Retailer terminal. Draw Games include Pick3 and Pick4 (plus Fireball), Palmetto Cash 5, MegaMillions and Powerball.
SCEL maintains contracts with two international lottery product vendors. Services provided by the vendors include (1) the development and printing of all of SCEL’s Instant Tickets and our Player Rewards application/website and (2) the outsourced operation of the sales and processing system used to execute all sales, along with other back office functions pertaining to the maintenance of retailer information. SCEL’s business and sales model allows it to operate very efficiently and in Fiscal Year 2023, general and administrative expenses were 0.43% of revenues.
SCEL is overseen by a nine-member Board of Commissioners; three are appointed by the Governor, three are appointed by the Speaker of the House, and three are appointed by the President of the Senate. The current Board Chairman is Sam Litchfield, III. Dr. Edward Keith serves as the Chairman of the Board’s Audit Committee. The Executive Director is Dolly Garfield, who has been employed with SCEL for 8 years, and previously served as its General Counsel.
GENERAL REQUIREMENTS
The Act requires that SCEL employ an Internal Auditor who reports to the Board. The Director of Internal Audit is the sole member of the internal audit function and reports directly to the SCEL Board of Commissioners through its Audit Committee, and administratively to the SCEL Executive Director. This reporting structure promotes independence and complies with internal auditing standards. The Board and Executive Management believe this is an appropriate structure due to the organization’s size, and because retail sales and significant processing and business systems are outsourced to highly experienced and reputable vendors. Additionally, SCEL has significant internal and professional resources who oversee daily operations, and who contribute significantly to an overall stable and dependable control environment.
Accordingly, the general requirements of the Director of Internal Audit necessitate that the candidate have excellent communication skills at all levels. The candidate must be able to communicate effectively with the Board, as to provide advice and insights to the Audit Committee, which will enhance the Committee’s ability to perform its oversight duties. The candidate must also work effectively with senior management and demonstrate a high level of business and professional knowledge, which will benefit SCEL and its operations. Moreover, the candidate must be a self-starter who can plan, execute and report audits.
SPECIFIC REQUIREMENTS
The Director of Internal Audit performs advanced professional work, providing independent assurance that the SCEL’s risk management, governance, and internal controls are operating effectively. This position is responsible for conducting an annual risk assessment, developing an annual audit plan based on the results, and conducting planned audits. The Director of Internal Audit provides consultation and conducts investigations to assess business risks, accountability, and compliance with federal, state, and local laws.
FUNCTIONS & RESPONSIBILITIES
MINIMUM QUALIFICATIONS
KNOWLEDGE, SKILLS & ABILITIES
COMPENSATION & BENEFITS
Employment with the South Carolina Education Lottery is at-will, and not covered by the South Carolina State Employee Grievance Procedures Act. SCEL offers a competitive compensation package, which includes participation in State benefits through the Public Employee Benefit Authority (PEBA) such as Health Insurance, Retirement Plans (defined contribution and pension plans available), Deferred Compensation and a generous Leave Program. For more information please visit the following links: