Claims Quality Audit Manager jobs in Virginia
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
Manager, Claims Quality Assurance
- James River Group
-
Richmond, VA
FULL_TIME
-
Come grow with James River Insurance!
James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved non-admitted basis in 50 states and Washington, DC. Since 2003, James River has provided thousands of commercial property and casualty customers with innovative and creative solutions for particular insurance needs.
At James River Insurance, we are committed to providing a stable and rewarding work environment supported by our Core Values and Guiding Principles: Integrity, Accountability, Innovation, Customer Service, Communication, and Teamwork. We are proud of our recent national recognition as a 2023, 2022, and 2021 Top Workplaces USA awards.
James River Group Holdings, Ltd. is a Bermuda-based insurance holding company which owns and operates a group of specialty insurance and reinsurance companies. The Company operates in two specialty property and casualty insurance segments: Excess and Surplus Lines and Specialty Admitted Insurance. The Company tends to focus on accounts associated with small or medium-sized businesses in each of its segments. Each of the Company's regulated insurance subsidiaries are rated "A-" (Excellent) by A.M. Best Company.
Job Summary
The Manager, Claims QA is a self-starter who is passionate about driving excellence and continuous improvement. The Claims QA Manager is responsible for assuring the Claims Department is adhering to established best practices by evaluating claim handling performance and creating impactful training that drives professional growth and exceptional service. The Claims QA Manager will build and manage a team of quality assurance professionals providing guidance coaching and oversight to enhance work product. This position collaborates closely with Claim Leadership to achieve excellence in service quality, improve claim outcomes and foster continuous improvement.
Duties and Responsibilities- Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service
- Responsible for leading the quality and learning and development functions within the Claims department
- Analyze and audit claims to ensure accurate coverage analysis, investigation, valuation, reserving, and disposition of claims
- Work with Claims Leadership to refine, update and maintain Claims best practice guidelines
- Partner with internal stakeholders to ensure the efficacy of the Claims audit program
- Manage the Claims quality assurance program
- Monitor Claim Professional training to maintain licensing
- Develop and deliver Claims learning and development programs to improve job performance effectively and efficiently within the Claims department
- Ensure learning and development programs support overall cadence and tenor of enterprise training and development programs by partnering with the Human Resources department
- Analyze data on the effectiveness of Claims training programs and reporting the ROI of training and development initiatives
- Develop and maintain library of training materials and tools
- Ensure that project and department milestones and goals are met
- Interview, select and train new employees
- Guide and help team members with project issues
- Responsible for continued development of Claims best practices and procedures
- Track employee performance and provide regular and appropriate feedback
- Provide employee feedback through regular check-ins and writing and delivering performance reviews
- Lead team through obstacles and time constraints to overcome barriers and successfully deliver results
- Advanced knowledge of claims handling principles and best practices
- Advanced knowledge of multiple P&C lines of business
- Advanced knowledge and experience managing claims and litigation process
- Ability to work on assignments that require a high technical level of expertise due to complexity and exposure, under minimal supervision
- Ability to stay current on emerging trends in learning design and development
- Ability to convey both technical and conceptual material in a clear and concise manner
- Excellent written and verbal communication skills
- Ability to develop an operation plan that aligns with and supports the overall business goals
- Ability to provide insights and recommendations from quantitative and qualitative data
- Ability to identify and make process and procedure improvement recommendations
- Ability to demonstrate business acumen and forward thinking-skills
- Ability to lead, motivate, influence, and mentor staff
- Ability to set clear expectations, effectively monitor progress, provide constructive feedback and guidance, and hold staff accountable
- Excellent organizational skills
- Ability to effectively communicate with all levels of the organization
- Advanced proficiency in MS Office (Word, Excel, Outlook)
- Ability to travel occasionally
- Bachelor’s Degree in related field required
- Minimum seven years’ insurance claims/financial services/customer service industry experience required
- Three years’ experience with program instructional design, development and delivery, adult learning, continuing education preferred
- Three years’ experience with insurance/financial service/customer service quality assurance preferred
- Minimum of two years of people management experience preferred
- Just Posted
Audit Supervisor / Audit Manager
- Wall, Einhorn & Chernitzer
-
Norfolk, VA
FULL_TIME
- Title: Audit Supervisor / Audit Manager Department: Audit & Attestation Location: Norfolk, VA (On-site, Hybrid, or Remote) Wall, Einhorn & Chernitzer, P.C. (WEC), is seeking top talent to join our tea...
- 21 Days Ago
Audit Manager
- Jobot
-
Mc Lean, VA
FULL_TIME
- Want to learn more about this role and Jobot? Click our Jobot logo and follow our LinkedIn page!Job detailsElevate Your Career Join Our Exceptional Audit Team and Drive Financial ExcellenceThis Jobot ...
- 3 Days Ago
Audit Manager
- Paro.ai
-
Virginia, VA
CONTRACTOR
- DescriptionWho We AreParo leverages proprietary AI technology to match our highly vetted experts with companies on an on-demand, hourly basis to solve their problems and drive growth. We have curated ...
- 4 Days Ago
Audit Manager
- Distinct
-
Wakefield, VA
FULL_TIME
- You will be joining a 120-person firm that prioritizes its employees, with a reputation for strong engagement from Partners and a culture of merit-based promotions. They are currently seeking an Audit...
- 7 Days Ago
Audit Manager
- Infrahire
-
Manassas, VA
FULL_TIME
- InfraHire is looking for Audit Manager in Manassas, VAResponsibilitiesHave a solid understanding of planning and conducting all stages of audits, reviews and compilations and financial statement prepa...
- 7 Days Ago
Claims Quality Audit Manager jobs at Popular Companies
Product Quality Manager
- Apple Inc.
-
Cupertino, CA
- Imagine what you could do here. At Apple, new ideas have a way of becoming extraordinary products, services, and custome...
- 6/11/2024 12:00:00 AM
Final Drug Product Quality Manager
- Takeda Pharmaceuticals
-
Thousand Oaks, CA
- By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that t...
- 6/11/2024 12:00:00 AM
Product Quality Manager
- Azienda Anonima
-
- Join our international company, a leader in its field, as we seek an experienced Quality Manager. The Quality Manager en...
- 6/10/2024 12:00:00 AM
Product Quality Manager
- Lockheed Martin
-
Salina, NY
- Job ID: 665811BR Date posted: Apr. 30, 2024 Description:THE WORK Leads the RMS Syracuse Product Quality Assurance (PQA) ...
- 6/9/2024 12:00:00 AM
Product Quality Manager # SC044
- Cummins
-
North Charleston, SC
- Product Quality Manager # SC044 Description Advocate for product quality and act as an internal champion on behalf of th...
- 6/9/2024 12:00:00 AM
Director, Quality Audit Management
- Ironwood Pharmaceuticals
-
Boston, MA
- Ironwood Pharmaceuticals is a leading global gastrointestinal (GI) healthcare company on a mission to advance the treatm...
- 6/7/2024 12:00:00 AM
Product Quality Manager
- Lockheed Martin
-
Liverpool, NY
- Job Description THE WORK Leads the RMS Syracuse Product Quality Assurance (PQA) organization reporting to the Product Qu...
- 6/7/2024 12:00:00 AM
Quality Manager
- Expert Connections
-
Johnson City, TN
- Our client is a global leader in the high-performance battery separators industry. The Quality Manager will lead the eff...
- 6/7/2024 12:00:00 AM
About Virginia
Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Manager jobs
$97,473 to $130,948
Most Popular Cities in Virginia for Claims Quality Audit Manager Jobs
What does a Claims Quality Audit Manager do?
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
Claims Quality Audit Manager in Canton, OH
On average, a Bachelor's Degree is the highest level of education for a Claims Quality Audit Manager.
January 04, 2020