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Insurance Claims Auditor
1 month ago
Casualty Claims Auditor
Job Market Casualty Insurance Claims Audit
Casualty Claims Auditor About the role
The role of Casualty Auditor will encompass the development, planning, execution, and reporting of technical and quality audits across the business unit.
Casualty audits will be undertaken in accordance with internal audit policy and procedure and client requirements.
The role will involve a considerable amount of interface with the business leads across Casualty and interface with all operational and support functions and clients will also be required. It will require identifying risks and making recommendations for claims improvements across the business unit.
It is important that the auditor has an interest in improving Casualty quality and can coach and mentor to develop others. They will have a responsibility to drive the Casualty processes in line with client guidelines and SLA requirements.
Casualty Claims Auditor- Key duties
Provide assistance and support to the Technical Manager - Casualty in the undertaking of the internal Casualty audit regime.
Undertake and lead internal Casualty audits in line with the internal audit programme, systems and client claims handling.
Undertake and lead ad hoc and other bespoke internal Casualty audits in line with the client and current policies and procedures.
Develop strong and effective business relationships with key stakeholders within the firm, ensuring the independent nature of the role is not open to compromise.
Provide clear and effective feedback (orally and in written report format) to both file handlers and to the key stakeholders within the business on conclusion of internal audit activities as and when required to do so.
Develop and effectively communicate recommendations for remedial action (orally and in written report format) to the key stakeholders within the business where necessary.
Ensure appropriate corrective action plans are developed and implemented by the relevant key stakeholders within the business in a timely manner.
Identify opportunities to develop and enhance existing procedures and processes where appropriate.
In conjunction with the Operation leads and Technical Manager of the Casualty Division consider training requirements and skill gaps analysis at both handler and strategic business unit level.
Casualty Claims Auditor- Key requirements
A proven history of handling/understanding a broad range of liability claims.
Computer literacy and a keen eye for detail.
Ability to demonstrate a consistent exposure to monitoring and driving the successful implementation of effective, corrective/improvement plans through to conclusion and in a timely manner.
The ability to communicate effectively with stakeholders at all levels, both orally and in writing.
Ability to present data back to internal and external stakeholder along with suggested change.
Knowledge of the process on total loss cases/salvage.
Team Leader/ supervisory level experience management of people/ coaching.
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