Claims Quality Auditor

3 weeks ago


Reigate, Surrey, United Kingdom Experis Full time
Position Overview:

The Claims Quality Auditor plays a crucial role in ensuring the integrity of the claims process within the organization. This position involves a thorough examination of both Group and Individual claims to ensure compliance with established protocols and timelines.

Key Responsibilities:
  • Conduct audits of the claims process to identify areas of risk and implement mitigation strategies.
  • Provide constructive feedback on audit findings to enhance the overall claims philosophy and operational procedures.
  • Offer guidance and mentorship to Claims Service Team Leaders and assessors based on audit outcomes, tailored to individual needs.
  • Assist the Risk and Audit Manager in discussions regarding specific cases through various communication channels.
  • Investigate incidents related to claims risk, generate comprehensive reports, and execute agreed-upon actions in accordance with company policies, utilizing JIRA for documentation.
Knowledge & Experience:

The ideal candidate will possess extensive expertise in Life, Critical Illness, and Income Protection claims, demonstrating a deep understanding of the technical aspects of these areas. A significant background in evaluating complex claims across diverse product lines is essential. Additionally, experience in mentoring and supporting colleagues in the claims domain is highly valued.


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