Quality Claims Specialist
2 days ago
We're looking for a professional to join our team as a Claims Quality Specialist. In this exciting new career opportunity, you will be responsible for reviewing claim activities to ensure continuous improvement of processes and technical capability that delivers efficient, compliant and customer-centric claims resolutions.
This role is perfect for someone who is passionate about delivering exceptional customer service and has a keen eye for detail. As a Claims Quality Specialist, you will work closely with claim managers and technical teams to design and develop initiatives that increase technical capability, compliance and mitigate risk.
You will also be responsible for identifying opportunities through the Quality Assurance program to increase efficiency, minimize claim costs and reduce process waste. This includes promoting a proactive claims file handling culture through peer reviews on claim files, claim processes and call reviews providing effective feedback on claims management, process improvements and customer service.
In addition, you will improve overall General Insurance Claims code compliance through proactive management of Code diaries and review of the Code risk report, undertaking sample customer-centric and partner-centric claim reviews.
We're embracing hybrid teams - enabling employees to maintain a balance of working both in the office and remote, supporting the needs of both the business and individual. So, come and share your ideas, give back and feel proud to be part of a company doing work that matters across climate change and mental health. Let's care for everyone's tomorrow so we can create a better future together.
- Promote a proactive claims file handling culture through peer reviews on claim files, claim processes and call reviews providing effective feedback on claims management, process improvements and customer service.
- Work with claim managers and technical teams in the design and development of initiatives and actions plans that increase and improve technical capability, compliance and mitigate risk.
- Identify opportunities through the Quality Assurance program to increase efficiency, minimise claim costs and reduce process waste.
- Promote a collaborative environment that fosters continuous improvement through the Quality Assurance program including feedback, training and process review.
- Improve overall General Insurance Claims code compliance through proactive management of Code diaries and review of the Code risk report, undertaking sample customer-centric and partner-centric claim reviews.
- Support the claims in times of crisis - such as catastrophe events - in lodgement of claims and supporting claims activities.
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