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)
Job Description:
As a member of the Data Quality (DQ) Audit team, the candidate will execute audit programs designed to measure and report on data risk across the enterprise. Will act as a senior resource and will lead audit engagements and guide junior team members. Will provide independent analysis of control effectiveness based on regulatory requirements, industry best-practices, and company policies & standards. Demonstrates strategic thinking and supports change. Executes audit testing is done timely and within conformance to audit policies, standards, and procedures. Drafts quality and timely audit reports and shares results with Technology leaders. Manages Technology partner relationships when conducting specific audits; Exercises critical thinking and judgment to effectively influence management to improve the control environment. When leading an audit engagement, is responsible for day to day coaching, mentoring, and performance feedback. Fosters an inclusive work environment.
Responsibilities will include:
Responsible for developing, leading, and executing an audit program designed to independently validate the completeness and accuracy of data across the enterprise. Typically works on projects of moderate to high complexity that would involve learning, as candidate will be responsible for testing the completeness and accuracy of data from point of origin, to systems of record, through business use (e.g. reporting) by independently querying systems data. Should have the ability to perform high quality, risk-focused fieldwork, in accordance with Corporate Audit methodologies and standards in order to identify meaningful issues, risks and other exposures as it relates to data and as outlined in the Enterprise Data Management standard.
Candidate will create / maintain accurate and clear work documents and is expected to complete tasks efficiently (on time and accurately). Also, will work with team to provide input to draft quality audit reports and supports sharing audit results with business leaders. Exercises critical thinking and judgment to effectively influence management to improve the control environment. Actively supports peers and audit team with development as part of on the job training during audit execution. Fosters a positive and inclusive work environment. Assists with the ownership of key regulatory matters related to data management. Strong problem solving, critical thinking, communication and project management skills are required
Primary Responsibilities Include:
Candidate will create / maintain accurate and clear work documents and is expected to complete tasks efficiently (on time and accurately). Also, will work with team to provide input to draft quality audit reports and supports sharing audit results with business leaders. Fosters a positive and inclusive work environment. Assists with the ownership of key regulatory matters related to the completeness, accuracy and timeliness of data. Strong problem solving, critical thinking, communication and project management skills are required
Desired Skills:
Shift:
1st shift (United States of America)Hours Per Week:
40