Claims Quality Audit Supervisor

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Claims Quality Audit Supervisor supervises a team of claims quality auditors to ensure timely and accurate evaluation of claims handling and decisions. Assigns and monitors audit workload to meet established schedules, sampling targets, and quality standards. Being a Claims Quality Audit Supervisor reviews completed audits to verify accuracy, consistency, and adherence to audit criteria. Provides coaching, training, and technical guidance to support auditor development and performance. Additionally, Claims Quality Audit Supervisor compiles and reports audit results and trends to management and recommends improvement actions. Ensures compliance with regulatory requirements, internal controls, and company procedures. Requires a bachelor's degree. Typically reports to a manager. The Claims Quality Audit Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Claims Quality Audit Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes.