Claims Quality Assurance Auditor
2 weeks ago
Do you have knowledge of Insurance Industry and Claims Handling with technical claim adjusting experience? If so, we would love to hear from you
We ask you to work collaboratively with business partners to ensure compliance with COG Best Practices and Operational Control processes. You will continuously improve the technical quality and operational performance of the claim's product delivered by our claims teams, measuring compliance through the use of technical file and operational reviews.
You will support understanding of the Chubb claims process by leading training sessions throughout the region. As well as, facilitating calibration of QA process within the claims teams through re-reviews, training and feedback. Finally, you will partner with various levels of internal and external claims management to analyse and communicate findings, recommend solutions, and assist in the development of significant action plans.
Key Responsibilities
Support the delivery of the European claims quality assurance plan to maintain the cycle of performance improvement within the claims division
Lead niche/technical reviews within Europe and support line of business experts in the delivery of reviews
Deliver audit and operational claims training
Ensure remediation plans are put in place where necessary and tracked in accordance with Chubb standards
Assist in the development and improvement of COG Best Practice Guidelines.
Conduct Claim Technical and Operational Quality Reviews of EMEA Claims. The main focus will be UK, although reviews may be across multiple lines of business and languages.
Deliver training to claims teams throughout UK and Europe on the audit process including the QA system and the calibration process to support QA quality. Complete file reviews, providing feedback and mentorship to other auditors.
Perform a detailed analysis of quality review results and translates results into key opportunity areas.
Continuously collaborate with claim management in the development of important action plans that detail the tasks, resources, and time frames necessary to improve claim handling.
Facilitate, support, and measure the execution of action plans. Provides consultation and advice to the claims teams to ensure the timely and effective delivery of action plans.
**Qualifications**:
Knowledge & Experience
Ability to provide consultation and expert advice to management
Knowledge of Insurance Industry and Claims Handling. 7 or more years of technical claim adjusting experience with specialization in two major lines of business (Property, Liability, A&H, etc )
Ability to learn and adapt to new product lines.
Fluent in second European language (desirable)
Experience in claims technical quality audit (desirable).
Effective communications and interpersonal skills to be capable of dealing a diverse group of multinational internal stakeholders, external partners and customers.
Experience of delivering training to a variety of groups is desirable.
Ability to dissect QA data sets, identifies root causes/trends, and quantifies the “cost of non-compliance”.
Excellent time management and organisational skills. Must be able to excel independently and in team environment.
Flexibility to work within multiple time zones.
Anticipated overnight travel 10-25%, likely in peaks with trips of up to 2 weeks.
Bachelors degree in related field or proven insurance related experience.
What we offer in return
Competitive salary & pension scheme
25 days annual leave plus ability to purchase 5 additional days
Private Medical cover, Employee Share Purchase Plan, Life Assurance
Subsidised gym membership, Comprehensive Learning & development offerings
**Employee resource groups**: Gender Equality Network, Abilities & Wellbeing, Social Mobility, Parents & Carers, Pride Network, Cultural Awareness Network.
Networking, mentoring & development opportunities.
1 day annual Charitable leave, Cycle to work scheme, Employee Assistance program
Integrity. Client focus. Respect. Excellence. Teamwork
Our core values dictate how we live and work. We’re an ethical and honest company that’s wholly committed to its clients. A business that’s engaged in mutual trust and respect for its employees and partners. A place where colleagues perform at the highest levels. And a working environment that’s collaborative and supportive.
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