Claims Quality Assurance Specialist

4 weeks ago


North Sydney Council, Australia Cover-More Full time

Job Description

Deliver Exceptional Claims Experience

Cover-More Group is committed to providing reliable, fast, flexible, and bespoke services for our customers and partners.

As a Claims Quality Assurance Specialist, you will be responsible for both Quality Assurance and Audit functions within Claims.

Key Responsibilities:

  • Review claims process, including phone calls, claims outcomes, and communications, to identify deficiencies and recommend improvements.
  • Examine customer experience and satisfaction of claims management, considering the voice of the customer and identifying outcome improvements.
  • Ensure product integrity is reviewed and maintained.
  • Review live claims payments to identify leakage, potential leakage, and money lost, and recommend corrective actions.
  • Liaise with and communicate with Claims Officers, Team Leaders, and training team members to reduce payments and claims errors.

Requirements

To be successful in this role, you will need:

  • At least 1 year's experience in insurance claims processing.
  • An understanding of insurance processes and legislation.
  • Strong communication skills, with the ability to have difficult conversations with peers as required.
  • Great attention to detail and the ability to quickly identify patterns.

About Us

Cover-More Group values optimism, caring, togetherness, reliability, and determination. We are a global group of digital natives, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts, and customer service professionals. We share a global mission to look after travellers, at every step of their journey.

Join Our Team

We are looking for talented individuals who share our values and are passionate about delivering exceptional claims experience. If you are a motivated and detail-oriented professional, please apply today



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