
Claims Quality Assurance Specialist
1 week ago
We are seeking a highly skilled and motivated Quality Assurance Specialist to join our team. As a key member of our Claims Department, you will be responsible for ensuring the integrity and quality of our claims processes.
- Reviewing claims processes, including phone calls, claims outcomes, and communications to identify deficiencies and recommend improvements.
- Examining customer experience and satisfaction of claims management, considering the voice of the Customer and implementing outcome improvements.
- Ensuring product integrity is reviewed and maintained.
- Reviewing live claims payments as per agreed limits and processes to identify potential leakage, money lost, and incorrect or duplicate payments.
- Ensuring payments are appropriately documented, authority levels are complied with, and decisions are made within policy coverage.
- Reducing payments and claims errors by liaising with and communicating with Claims Officers, Team Leaders, and training team members.
To succeed in this role, you will need:
- Proven 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.
We offer a range of benefits to support your career growth and well-being:
- Job flexibility, allowing you to maintain work-life balance with a hybrid work week policy.
- Career growth opportunities, enabling you to learn, develop, and bring your ideas to the table.
- Regular annual and personal leave benefits, anniversary leave, COVID-19 leave, volunteer leave, and a comprehensive paid parental leave scheme.
- Travel opportunities, including free travel insurance and discounts through extensive travel partnerships.
- Diversity and inclusion, embracing who you are and valuing individuality.
About Us
We value optimism, caring, togetherness, reliability, and determination. Our team offers a supportive and collaborative environment that allows you to grow and thrive in your career.
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