Claims Quality Assurance Expert
4 days ago
This position requires collaboration with internal teams and external service providers to assess performance, identify gaps, and provide actionable insights. Additionally, the Claims Quality Assurance Expert will contribute to regulatory compliance, complaint management, and system enhancements, all while fostering a culture of continuous improvement and maintaining high-quality standards across the claims process.
The key responsibilities include:
- Evaluating claims handling procedures to ensure compliance with best practice, regulatory requirements, and Service Legal Agreements.
- Identifying and sharing best practices to standardise procedures, improve consistency, and enhance claims handling efficiency.
- Conducting audits, analysing data, and generating reports to drive continuous process improvement and reduce errors or Claims Leakage.
- Collaborating with internal teams and external providers on system enhancements, user testing, and process updates to improve claims efficiency.
- Managing complaint logs, ensuring timely resolution, and supporting regulatory compliance, including audits and adherence to industry standards.
Requirements:
To succeed in this role, you should be CIP qualified and have relevant professional or third-level qualifications. Experience in claims within the General Insurance Industry, including experience in a quality assurance role, is essential. You should also have strong knowledge of Public Liability, Employers Liability, Motor, and Property claims, including regulatory and operational requirements.
What You Will Gain:
This role offers valuable experience in a wide range of claims handling processes, collaborating with internal teams and external service providers. You will have the opportunity to drive quality improvements and enhance operational efficiency across claims procedures. Additionally, you will influence best practices and contribute to system enhancements that optimise claims processing. Direct involvement in ensuring compliance with industry regulations and delivering exceptional outcomes for the business and customers.
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