Claims Quality Audit Director jobs in Pennsylvania
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
Internal Audit Director - Quality Assurance
- PNC Financial Services Group
-
Pittsburgh, PA
FULL_TIME
-
Job Profile
Position Overview
At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued, and have an opportunity to contribute to the company’s success. As an Internal Audit Director, you will be within PNC’s Internal Audit organization, leading the Internal Audit Support & Administration Quality Assurance (QA) Audit team. This position is primarily based in a PNC location. Preferred locations are listed in this requisition. Responsibilities require time in the office or in the field on a regular basis. Some responsibilities may be performed remotely, at manager’s discretion.
Are you interested in an opportunity to join a dynamic and transformative audit environment that encourages innovation, champions data analytics, promotes process automation, and embraces emerging risks? PNC’s Internal Audit department is composed of industry leaders who provide independent, objective assurance and consulting services designed to add value and recommend improvement to the organization’s operations. Using cutting edge technology, you would participate in a collaborative setting and help guide PNC’s Internal Audit department into the future.
- We execute a Risk Based Audit Approach
- We value Data Analytics and Automation
- We leverage Continuous Monitoring/Auditing Techniques
- We recruit, develop, and retain great talent
- Provide an independent and objective perspective
- Ability to manage risk and think strategically
- Encourage, motivate, and guide individuals or teams in learning and improving effectiveness
- Mobilize both time and resources efficiently to get things done
- Establish and build healthy working relations and partnerships with clients, vendors, and peers
- Challenge the status quo and drive innovative ideas and techniques
- Anticipate stakeholders needs, adapt to new approaches, and deliver business value and insights
- Experience with relationships with supervisory agencies, including OCC, Federal Reserve and FDIC
- Identify opportunities to enhance the QAIP based on changing Institute of Internal Auditors (IIA) standards and regulatory requirements and guidance.
- Lead the development and implementation of QA/Quality Control (QC) risk assessments and related execution plan.
- Lead the execution of Vertical, Horizontal, Thematic QA reviews, as well as other QA and Quality Control (QC) activities, to confirm Internal Audit’s activities conform to the IIA standards), the IIA Code of Ethics, and applicable regulatory requirements and guidance.
- Review QA/QC work papers, as well as provide guidance and direction for QA/QC testing procedures and audit risk and control assessments. Responsibilities will also include overseeing documenting audit and QA/QC work demonstrating command of language, clarity of thought, and orderliness of presentation.
- Present Internal Audit QA/QC findings to Internal Audit and Audit Support & Administration management.
- Work closely with Internal Audit management and clients at all levels to develop and finalize Internal Audit QA/QC findings and recommendations regarding business process optimization, internal control, and compliance audit methodology, policies and procedures, and audit execution.
- Responsible for the preparation of Internal Audit QA/QC monthly, quarterly, and annual reporting.
o Identify opportunities to enhance Internal Audit practices and QA/QC efficiency and effectiveness, including use of analytics and automation.
Job Description
Evaluates organizational business risks; develops and communicates audit plan; and oversees execution of audits. Partners with the business on audit execution and results, serving as the relationship manager between audit and the business.
Coordinates/monitors/reviews the execution of audit procedures including those in support management's assessment of internal controls over financial reporting in accordance with the COSO Framework and Sarbanes-Oxley Act.
Oversees the deployment of team resources and performs talent management activities. Coaches and oversees development of team members.
Collaborates with internal audit management to develop and implement internal audit policies, procedures, and best practices. Advises senior management on risk and control issues and provides practical recommendations to ensure risks are appropriately managed.
Maintains relationships with external auditors, bank regulators, business units and senior management to ensure communication of critical issues in a timely manner.
PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be:
Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
Managing Risk - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they adhere to and support PNC's Enterprise Risk Management Framework.
PNC also has fundamental expectations of our people managers. As a manager of talent in PNC, you will be expected to:
Include Intentionally - Cultivates diverse teams and inclusive workplaces to expand thinking.
Live the Values - Role models our values with transparency and courage.
Enable Change - Takes action to drive change and innovation that will transform our business.
Achieve Results - Takes personal ownership to deliver results. Empowers and trusts others in decision making.
Develop the Best - Raises the bar with every talent decision and guides the achievement of all employees and customers.
Qualifications
Successful candidates must demonstrate appropriate knowledge, skills, and abilities for a role. Listed below are skills, competencies, work experience, education, and required certifications/licensures needed to be successful in this position.
Competencies Audit And Compliance Function, Business Acumen, Decision Making and Critical Thinking, Effective Communications, Internal Controls
Work Experience Roles at this level typically require a university / college degree. Higher level education such as a Masters degree, PhD, or certifications is desirable. Industry-relevant experience is typically 8 years. At least 5 years of prior management experience is typically required. Proven leadership experience with a moderate to large scope of responsibility is required. In lieu of a degree, a comparable combination of education, job specific certification(s), and experience (including military service) may be considered.
Education Bachelors
Certifications No Required Certification(s)
Licenses No Required License(s)
Benefits
PNC offers a comprehensive range of benefits to help meet your needs now and in the future. Depending on your eligibility, options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and spouse/child life insurance; short and long-term disability protection; 401(k) with PNC match, pension and stock purchase plans; dependent care reimbursement account; back-up child/elder care; adoption, surrogacy, and doula reimbursement; educational assistance, including select programs fully paid; a robust wellness program with financial incentives.
In addition, PNC generally provides the following paid time off, depending on your eligibility*: maternity and/or parental leave; up to 11 paid holidays each year; 8 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service.
To learn more about these and other programs, including benefits for full time and part-time employees, visit pncbenefits.com > New to PNC.
- For more information, please click on the following links:
PNC Full-Time Benefits Summary
PNC Part-Time Benefits Summary
Disability Accommodations Statement
If an accommodation is required to participate in the application process, please contact us via email at AccommodationRequest@pnc.com . Please include “accommodation request” in the subject line title and be sure to include your name, the job ID, and your preferred method of contact in the body of the email. Emails not related to accommodation requests will not receive responses. Applicants may also call 877-968-7762 and say "Workday" for accommodation assistance. All information provided will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.
At PNC we foster an inclusive and accessible workplace. We provide reasonable accommodations to employment applicants and qualified individuals with a disability who need an accommodation to perform the essential functions of their positions.
Equal Employment Opportunity (EEO)
PNC provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or other categories protected by law.
California Residents
Refer to the California Consumer Privacy Act Privacy Notice to gain understanding of how PNC may use or disclose your personal information in our hiring practices. - 2 Days Ago
Internal Audit Director - Quality Assurance
- PNC
-
Pittsburgh, PA
FULL_TIME
- Position OverviewAt PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work to...
- 5 Days Ago
Quality assurance specialist
- Sedgwick Claims Management Services
-
East Texas, PA
FULL_TIME
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It's having support ...
- 11 Days Ago
Director of Quality Assurance and Compliance
- Partners For Quality
-
Pittsburgh, PA
FULL_TIME
- OverviewORGANIZATION: Allegheny Children’s InitiativeDEPARTMENT: AdministrationPOSITION: Director of Quality Assurance and ComplianceSTATUS: Full-Time; 40 hours/weekHOURS: M-F 9am-5pmLOCATION: Through...
- Just Posted
Director of Quality Assurance, Manufacturing
- Utz Quality Foods, Inc
-
Hanover, PA
FULL_TIME
- Utz Quality Foods is seeking a Director of Quality Assurance, Manufacturing. The Director of Quality Assurance, Manufacturing is responsible to organize, direct, control and evaluate the operations of...
- 24 Days Ago
Audit Director
- FORVIS
-
Pittsburgh, PA
FULL_TIME
- Requisition Number2232755 Description & Requirements The Forvis Mazars audit team provides services that go beyond the compliance function. This team brings credibility to our client's financial pictu...
- 3 Days Ago
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-
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-
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- ADAGE INNOVATIONS INC
-
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About Pennsylvania
Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east.
Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$152,103 to $217,374
Most Popular Cities in Pennsylvania 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