Quality Assurance Consultant

2 months ago

London, United Kingdom XL Catlin Full time

**Flexible Work Eligible**: Flexible Work Schedule

**DISCOVER your opportunity**

**Claims Delegated Arrangements Quality Assurance Consultant**
London, UK

The role involves the management, arrangement, coordination, calibration and reporting of DA audits conducted by external resources from a technical, managerial, administrative, and customer based perspective. Among other responsibilities the role evaluates the precision of claim handling decisions and outcomes by Delegated Arrangements as well as compliance with contractual obligations, service standards and regulatory requirements.

**DISCOVER your opportunity**

What will your essential responsibilities include?
- Thoroughly, timely, and accurately complete all preparatory assignments for each DA audit.
- Coordinate and facilitate audit activity with Delegated Claims Administrators (DCAs), Claims Account Managers (CAMS), Enterprise Shared Services (ESS) and external audit partners
- Actively oversee DCA reviews that measure compliance with claim service agreements, promote best claim handling practices and confirm conformance with regulatory requirements
- Assure the accurate review of all selected claims and record findings that are informed, constructive, and supported
- Assure the proper completion of all operational testing
- Promote and maintain a transparent audit process with DCAs and internal stakeholders
- Maintain calibration of the audit team throughout each review. Collaborate with team members to achieve joint success
- Facilitate exit interviews for each audit with auditors, DCAs, CAMs, and CDAG Regional Managers
- Timely review, edit and release audits reports that accurately measure performance against contractual requirements, service standards, regulatory requirements and best claim handling practices
- Create agreed actions for DCAs that reinforce best practices and steps for continuous improvement
- Liaise effectively and openly with internal colleagues throughout each review. Work with managers to develop processes for continuous improvement based on audit findings
- Maintain open lines of communication with ESS to assure the completion and proper documentation of each audit. Leverage ESS support to achieve greater efficiencies
- Contribute to unit reporting requirements
- Monitor ESS India support activity

You will report to the Deputy Head of Delegated Authorities.

**SHARE your talent**

**SHARE your talent**

We’re looking for someone who has these abilities and skills:
**Required Skills and Abilities**:

- Experience in operational and technical claim auditing
- Familiarity with claim handling practices in the UK and Lloyd’s market
- Experience of Lloyd’s audit processes and procedures and the use of Lloyd’s systems such as Delegated Audit Manager
- Strong understanding of regulatory matters to include FCA and Lloyd's
- Comprehensive, well developed technical claim handling skills
- Experience/knowledge of various lines of insurance with a focus on casualty, property, professional and/or specialty claims
- Working knowledge of claims handling processes and procedures
- Experience with TPA/Coverholder claim handling processes
- Claims management experience preferred
- Ability to critically analyse data; arrive at supported conclusions; and report findings, solutions and/or recommendations in an informative, constructive manner
- Demonstrate an ability to effectively and constructively communicate with internal colleagues, claims management and external business partners on complex, sensitive issues
- Experience in fraud detection and prevention
- Ability to work in team environment

**Desired Skills and Abilities**:

- ACII or pregress towards

**FIND your future**

AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. For mid-sized companies, multinationals and even some inspirational individuals we don’t just provide re/insurance, we reinvent it.

How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.

With an innovative and flexible approach to risk solutions, we partner with those who move the world forward.

**Inclusion & Diversity**

AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic.

At AXA XL, we know that an inclusive culture and a diverse workforce enable business growth and are critical to our success. That’s why we have made a strategic commitment to attract, develop, advance and retain the most diverse workforce possible, and create an inclusive culture where everyone can bring their full selves to work and can reach their highest potential. _It’s

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