| Claims Quality Audit Director Job Description |
 |
| The following is a full job description for Claims Quality Audit Director. Here are the requirements and responsibilities for Claims Quality Audit Director along with statistics. If after reading this page you determine that Claims Quality Audit Director is not the position you are looking for, you may want to try one of these similar titles: Claims Quality Audit Manager, Claims Quality Audit Supervisor, Loan Quality Audit Manager, VP of Claims, Claims Quality Auditor I, Claims Quality Auditor II, Claims Quality Auditor III, Product Quality Systems Director, Claims Manager |
|
| Requirements and Responsibilities For Claims Quality Audit Director |
| Directs the claims quality audit function to ensure accuracy, compliance, and consistency across all claims operations. Oversees managers, supervisors, and auditors responsible for evaluating claim handling, decisions, and payments. Develops audit strategy, methodologies, and quality standards aligned with regulatory and organizational requirements. Analyzes audit results and error trends to identify systemic issues and recommend corrective actions. Reports quality findings and improvement initiatives to senior leadership and stakeholders. Ensures compliance with applicable regulations, internal controls, and industry best practices. Requires a bachelor's degree. Typically reports to senior management. 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. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. |
| |
|
| Also referred to as: Claims Quality and Compliance Audit Director |
|
| Similar Jobs: Claims Quality Audit Manager, Claims Quality Audit Supervisor, Loan Quality Audit Manager, VP of Claims, Claims Quality Auditor I, Claims Quality Auditor II, Claims Quality Auditor III, Product Quality Systems Director, Claims Manager |
|
| Level of Education: Claims Quality Audit Director Salaries with No Diploma, Claims Quality Audit Director Salaries with a High School Diploma or Technical Certificate, Claims Quality Audit Director Salaries with an Associate's Degree, Claims Quality Audit Director Salaries with a Bachelor's Degree, Claims Quality Audit Director Salaries with a Master's Degree or MBA, Claims Quality Audit Director Salaries with a JD, MD, PhD or Equivalent |
|
|
| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance, Pharmaceuticals | |
