Quality Assurance Specialist

1 month ago

Sydney, New South Wales, Australia EML (Employers Mutual Limited) Full time

The Opportunity

EML is seeking a Quality Assurance Specialist to drive internal and external audit outcomes. This role will work closely with the Senior Leadership Team, Case Managers, and Insurers to coordinate quality assurance and regulator audit responses. The successful candidate will be responsible for implementing continuous improvement activities arising from audit feedback, ultimately uplifting the quality and performance of the CTP claims team.

Your Responsibilities

  • Develop and implement the strategic direction, performance, and sustainability of the CTP claims teams, in line with regulator requirements and EML's Claims Management model and objectives.
  • Seek to understand and adopt the QA framework as part of onsite BAU processes and identify and evaluate organisational development needs across the CTP portfolio.
  • Build and maintain productive internal and external relationships by liaising effectively and collaboratively with host insurer, management, claims teams, and shared services.
  • Provide accurate and complete information that is consistent and easy to understand, including options for addressing areas of remediation and processes, tools, and opportunities that will rectify these issues.
  • Act as facilitator between Shared Services and Operations teams to ensure Quality and Improvement objectives are met.

About You

  • Demonstrated experience working in a similar role with exposure to Quality Assurance requirements and working with regulators.
  • Prior CTP claims management experience.
  • Tertiary studies in Allied Health desirable.
  • Strong customer service skills.
  • Attention to detail and organisational skills.

What We Offer

EML is an equal opportunity employer, committed to maintaining a workplace where everyone feels valued and respected. We offer career opportunities and great employee benefits, including professional development and generous employee benefits.

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