Job description
Claims Quality Assurance and Risk Auditor Remote
Salary - £35,000 - £40,000 depending on experience
Hours - Monday to Friday 9 am to 5:30 pm
Flexible locations
Overview:
to undertake annual, monthly, and bespoke audits to ensure a high degree of quality is maintained within the claims department. To provide support with the management of Control Reports and provide input into the Risk Register and overall Risk & Control framework and testing.
Responsibilities:
- Identify areas of leakage and recommend cost-effective solutions to rectify them.
- Identify any areas of potential fraud and recommend counter-fraud strategies
- Monitor and report on KPIs and SLAs to meet agreed service and performance targets
- Maintain knowledge in a specialist area, understanding how legislation developments affect claim handling
- Conversant with financial implications of claim reserving and settlements. Identify, resolve, and monitor any areas of weakness or inconsistencies
- Ensure claims are handled within set guidelines and procedures
- Maintain consistency in approach to auditing.
- Assist QA Manager in ensuring adequate processes/controls are applied to identify and mitigate any risks
- Maintain audit records and databases, following up on identified issues to ensure the resolution
- Production of post-audit reports
- Customer Outcome focused Audits
- Assist the QA manager in providing report/feedback with recommendations to the departmental Managers and Team Leaders and follow up to ensure any action points completed
- Adhere to FCA, TCF and Data Protection Regulations and other regulatory requirements
- Undertake other reasonable tasks and projects as required by QA Manager.
This role would suit someone who has:
- Capable of making appropriate judgements
- Minimum of 5 years of claims handling experience
- A good level of understanding of Accidental Damage, Credit hire, Third party property damage and Third-party injury processes
- Knowledge of the Road Traffic Act and Article 75
- Understanding of the importance of accurate Reserving Philosophy
- Experience in monitoring quality and performance, and raising standards over time
- Good business and operational administration skills and experience
- Communicates verbally and in writing in a style appropriate to the audience
- Can monitor and prioritise workflow to achieve deadlines
- Strong relationship management and influencing skills
- Proven customer focus track record
- Attention to detail
What are we doing to help us build a thriving, inclusive community?
Our ambition is to build a more diverse, equal, and inclusive workplace for everyone, and we have a mission statement in place to reinforce our commitment. However, that's the easy part!
Our key challenges are…
- How we continue to nurture positive behaviours in our own culture to foster healthy, happy and collaborative colleagues where performance is recognised, and differences celebrated.
- How we strive to build our internal community to better reflect the diverse communities we serve.
To help us achieve this, we have recently established an employee network called #WeAreMarkerstudy - a body of proactive colleagues with diverse interests and experiences, who have volunteered themselves to be part of a driving force for positive change.
Change won't happen overnight or without the support of our colleagues, but we are now in a good position to make realistic and manageable plans to see them flourish in the future.