Claims Quality Audit Director jobs in Kentucky
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)
Recently Added Claims Quality Audit Director jobs
Director of Audit
- Banterra
-
Paducah, KY
FULL_TIME
-
SUMMARYThe Director of Audit is responsible for overseeing all aspects of the internal audit function. This director is responsible for developing and implementing audit plans, conducting risk assessments, and ensuring compliance with applicable laws and regulations. By working closely with senior management, the Director of Audit identifies areas for improvement and develops strategies to enhance internal controls and operational efficiency.This position plays a critical role in ensuring the organization's financial integrity, safeguarding its assets, and maintaining compliance with regulatory requirements. The Director of Audit's work helps the company to maintain a strong reputation for transparency, accountability, and ethical practices.By providing strategic guidance, insightful recommendations, and sharing expertise, this director facilitates the continuous improvement of the company's operations and risk management practices. The Director of Audit should possess exceptional leadership capabilities, a commitment to excellence, and thorough industry experience.All employees are expected to protect the information and assets of the organization through heightened awareness of information security, cybersecurity, and risk management best practices, as well as complying with all applicable laws, regulations, and organizational policies.ESSENTIAL DUTIES
- Ensure business complies with policies, procedures, legislation, and regulations.
- Evaluate effectiveness of controls and procedures using established risk methodology.
- Serve as coordinator/facilitator between external auditors and internal departments.
- Develop and implement a comprehensive internal audit program, including risk assessment methodologies, audit planning, and execution.
- Conduct audits of financial statements, internal controls, and operational processes to identify areas of risk and recommend improvements.
- Develop branch audit plan and cycle, providing oversight and guidance for internal branch audits.
- Prepare audit reports detailing findings and present recommendations to Executive Management and Audit Committee.
- Collaborate with other departments to ensure timely resolution of audit findings.
- Stay current on industry trends, emerging risks, and regulatory changes that may impact the internal audit function.
- Provide guidance and support to staff auditors.
- Identify emerging compliance issues and develop/update related controls to mitigate risk to the company and its customers.
- Provide oversight and guidance for the Bank's loan review process.
- Evaluate the effectiveness of internal controls and provide recommendations for enhancing controls and mitigating risks.
EDUCATION & CERTIFICATIONS- Bachelor's degree in Accounting, Finance, or a related field, or a commensurate combination of education and experience required.
- Increasingly responsible experience in financial institution accounting and/or auditing required.
MINIMUM REQUIREMENTS- Direct experience in Accounting and/or Audit services with a strong knowledge of auditing standards, practices, and techniques.
- Confident decision-making abilities and the skill to use sound judgment about the timing of choices; particularly the ability to make informed, responsible decisions with limited information or under considerable amounts of stress.
- Successful project management and strategic planning experience with a substantial record of managing projects, setting goals, developing timelines, and monitoring progress.
- Leadership experience and the ability to manage a team of direct reports.
- Strong critical-thinking skills and the ability to analyze potential project outcomes with the adaptability to redirect attention as needed to meet targets and deadlines.
- Excellent communication skills and the ability to communicate effectively, verbally and in writing, with internal and external customers at all levels.
- A positive and proactive approach to work, demonstrating enthusiasm, adaptability, and the ability to maintain composure and professionalism in stressful or adverse conditions.
- Proficient computer literacy, including comfort with Microsoft systems and Office Suite.
- Intermediate typing skills to meet the needs of this position.
- Current driver's license and reliable transportation with appropriate insurance coverage; additionally, the ability to drive occasionally in the course of performing assigned duties and responsibilities.
- The ability to work with minimal or no supervision.
ADDITIONAL QUALIFICATIONS- Master's degree in Accounting, Finance, or a related field strongly preferred.
PHYSICAL DEMANDS AND WORK ENVIRONMENTThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers; handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.NOTEThis job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently.Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others.The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an "at will" relationship.The company is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations and other laws/regulations as applicable.
Banterra Bank is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identify, age, disability, protected veteran status, or any other characteristics protected by law. - 11 Days Ago
Director of Internal Audit
- R.J. Corman Railroad Group
-
Nicholasville, KY
FULL_TIME
- Responsibilities: Develops the annual work plan for the Internal Audit Department; conducts formal multi-Company-wide risk assessments to assess organizational risk and focus audit resources on high-r...
- 15 Days Ago
KY - 1099 Property Claims Adjuster
- Copper Claims Services, Inc.
-
Louisville, KY
CONTRACTOR,PART_TIME
- 1099 Property Claims AdjusterCopper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.Copper Claims Services excels in providing custom claims solutions for ...
- 10 Days Ago
Director of Quality & Risk
- Encompass Health
-
, KY
FULL_TIME
- The Quality/Risk Director is responsible for an environment and culture that enables the hospital to fulfill its mission by meeting or exceeding goals, conveying the mission to all staff, facilitating...
- 4 Days Ago
Senior Director Quality Assurance
- American Air Filter Company
-
Louisville, KY
FULL_TIME
- Description AAF International offers the most comprehensive clean air solutions available across the globe. Selling under the American Air Filter and the AAF International brand names, AAF Internation...
- 1 Month Ago
Kentucky Independent Auto Appraiser
- Complete Claims Service
-
, KY
CONTRACTOR
- Complete Claims Service, LLC seeks Independent Auto Damage Appraisers across the state of Kentucky. This is a job for independent appraisers only NOT FOR INSURANCE ADJUSTERS! We are looking to hire pr...
- 21 Days Ago
Claims Quality Audit Director jobs at Popular Companies
Director of Quality Control
- Bechtel Recruiting Group
-
- Director of Quality Control -- Thank you for taking the time to consider applying with the Bechtel Recruiting Group. We ...
- 4/19/2024 12:00:00 AM
Director of Quality Control
- BioRestorative Therapies, Inc.
-
Melville, NY
- Maintain a robust Quality Management (QM) program in concert with the Biologic Therapies Facility (BTF) Director, Direct...
- 4/19/2024 12:00:00 AM
Director of Quality Control
- JLA Architects
-
Denver, CO
- Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
- 4/18/2024 12:00:00 AM
Director of Quality Control
- JLA Architects
-
Milwaukee, WI
- Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
- 4/18/2024 12:00:00 AM
Director of Quality Control
- Jla Architects
-
Milwaukee, WI
- Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
- 4/18/2024 12:00:00 AM
Director of Quality Control
- Jla Architects
-
Denver, CO
- Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
- 4/18/2024 12:00:00 AM
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...
- 4/17/2024 12:00:00 AM
Director of Quality Control
- ADAGE INNOVATIONS INC
-
Alexandria, VA
- Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opport...
- 4/16/2024 12:00:00 AM
About Kentucky
Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States.
Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$142,661 to $203,882
Most Popular Cities in Kentucky for Claims Quality Audit Director Jobs
What does a Claims Quality Audit Director do?
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