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Associate Claims Auditor

4 weeks ago

Haywards Heath, United Kingdom Collinson Full time

Please note that the **key experience this role requires is knowledge of claims processes** across at least one of the following insurance products**:Travel/Healthcare/Ancillary** (such as motor breakdown, home emergency and gadget cover).

Collinson Group is a global leader in driving loyalty and engagement for many of the world’s largest companies. Predominantly through the provision of travel related benefits within a market leading digital travel ecosystem. The group offers a unique blend of industry and sector specialists who together provide market-leading experience in delivering products and services across four core capabilities: Loyalty, Lifestyle Benefits and Insurance.

The group provides unrivalled insight and expertise around affluent consumers and frequent travellers, creating and delivering products and services now accessible to over 400m end consumers.

We have more than 25 years’ experience, with 28 global locations, servicing over 800 clients in 170 countries, employing 1,800 people.

We have been bringing innovation to the market since inception - from launching the first independent global VIP lounge access Programme, Priority Pass to being the first to sell direct travel insurance in the UK through Columbus Direct and creating the first loyalty agency of its kind in the travel sector with ICLP. Today we still invest heavily in innovation to ensure that we continue to deliver superior customer experiences.

Key clients include: Visa, Mastercard, American Express, Cathay Pacific, British Airways, LATAM, Flying Blue, Accor, EasyJet, HSBC, Chase, HDFC.

Our mission is focused on doing good beyond profit, which for us means we seek out opportunities for our people to share in our success and that we give back to the communities and people within which we work.

Never short of ambition, the success of our business is delivered through the diverse and talented team of over 1,800 colleagues globally.

**Purpose of the job**

Collinson Insurance offers personal lines insurance in travel, accident & health and a range of ancillary products including home and motor related lines.

The Associate Claims Auditor will report to the Claims Auditor to assist with the delivery of risk-based claims audits for Collinson Insurance. This will involve technical oversight of external and intercompany outsourced claims and assistance arrangements.

Under the supervision of the Claims Auditor, the Associate Claims Auditor will measure the effectiveness of internal and external suppliers through the medium of Closed File Reviews (CFR). The reviews will seek to measure adherence to policy terms and conditions, delivery against contracted KPI and SLA’s, and regulatory requirements including the treatment of vulnerable customers. Our partners are located across the UK and internationally.

**Key Responsibilities**
- Support the Claims Auditor to effectively schedule and plan assigned CFRs to ensure completion of scope within the agreed timeframes
- Support regular visits to supplier offices within the UK and internationally as required, to complete fieldwork through the medium of the CFR process
- Produce detailed audit reports to a high standard outlining findings and recommendations
- Build and maintain collaborative relationships with key internal stakeholders and suppliers
- Work with the Claims Auditor to implement changes and improvements identified through the CFR regime
- Keep up to date on regulatory and industry developments so that this knowledge can be applied to the audit process
- Maintain audit records with core documentation, working papers and supporting evidence
- Escalate any significant concerns to the Claims Auditor
- Support the Claims Auditor and the wider claims business area with other tasks in line with the role that may be required

**Regulatory responsibilities**
- Adhere to the FCA’s Conduct rules and the Firm’s code of conduct
- Undertake all regulatory training as prescribed by the company and comply with all policies relevant to your role
- Immediately report any known conflicts of interest in line with company policy
- Satisfy on an ongoing basis the company’s fit and proper requirements which as a minimum shall take account of your:

- Honesty, integrity and reputation
- Competence and capability; and
- Financial soundness

**Knowledge, skills and experience required**
- Proven experience in claims management in one or more of the following areas: travel; international medical and dental healthcare; ancillary products such as motor breakdown, home emergency and gadget cover
- Awareness of insurance regulation and compliance matters
- Able to measure standards to a consistent and objective level
- An ability to gather data, analyse and communicate results and findings in a clear format
- A person who can find solutions to problems
- Strong communication, interpersonal skills and comfortable representing Collinson Insurance to external partners
- Highly organised and eff

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