Claims Auditor
Job Type : Permanent, Full Time
Salary :
Our client is a successful insurance business, looking to recruit a Claims Auditor to join their business. This is a full time office based role, however our client do allow for some home working as part of their flexible working agreement. Salary is competitive depending on experience, and our client offers a great benefits package. To manage the audit provision within the claims department on a day to day basis, leading key audits and working with stakeholders across the team and the business to ensure the successful implementation and completion of the audit plan in a timely and efficient manner working strictly within FCA principles.
Overview of Responsibilities
To develop and manage the audit process and delivery of assigned audits in line with agreed parameters reporting back to the Senior Claims Manager.
To be responsible for collating, checking and analysing claims files on a continuing basis, providing constructive feedback and coaching were required.
To identify if and where processes are not working as per operating procedures, FCA principles and binding authority agreement, and liaise with the Senior Claims Manager to further develop processes
To liaise with managerial and front line staff to present findings and recommendations where required
To identify and evaluate areas of exposure, trends, potential problems and training requirements within the Claims Department.
To manage the tracking and closeout of any audit issues, liaising with the Claims team to ensure adequate solutions, prevention methods are found and relevant processes are updated.
To undertake an Audit Risk Assessment at least annually in order to ensure audit and sampling processes align with Claims department objectives and strategy.
To report on any issues identified and document the auditing findings to the Senior Claims Manager.
To highlight and assist with training requirements for competency levels within the claims department to the Senior Claims Manager.
To maintain productive professional relationships within the Claims team and with other key internal and external stakeholders.
To ensure that staff are aware of the FCA requirements in relation to claims handling for ICOBS.
To ensure that the Claims team are working in line with the binding authority agreements with our insurers and maintain strict adherence to regulatory requirements.
To ensure the maintenance of adequate records to demonstrate compliance with FCA requirements ICOBS 8.1.
To develop and maintain a continual monitoring of claims handling process in line with ISO 9001:2008 internal Operating Procedures OP10.
Experience / Skills
Excellent Claims knowledge and experience, gained working within the construction market
Excellent knowledge of insurance products, understanding cover and how it applies for the businesses schemes.
Excellent knowledge of FCA Regulations, gained in a similar working environment.
Good knowledge and experience of managing Quality Assurance functions (ISO:9001)
A strong background of auditing files and producing audit reports/findings
Excellent communication skills, written and oral
Demonstrable ability to use own initiative.
Ability to motivate self and influence others.
Experience of delivering constructive feedback at all levels.
Meticulous attention to detail with an strong ability to conduct analysis
Ability to work to deadlines
Ability to work on your own initiative and as part of a team
Strong IT skills to analyse data and produce reports
If you feel you have the skills and experience for this role and are interested, please forward a copy of your CV.
If you haven't heard from us within 1 week, please assume your application has been unsuccessful
