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Claims

Claims Auditor

Permanent

  • Salary:
  • Location: Birkenhead
  • Contract: Permanent

Working for this established and growing organisation, the Claims Auditor will work as part of a team, leading key audits to ensure the successful implementation of the audit plan. The Claims Auditor will be rewarded with 25 days’ holidays plus Bank Holidays, plus an impressive benefits package. The office is based close to Hamilton Square station, so easily accessible from Chester, the Wirral and Liverpool.
 
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 company 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
Experience of delivering constructive feedback at all levels
Meticulous attention to detail with an strong ability to conduct analysis
Strong IT skills to analyse data and produce reports.

 
KEYWORDS: claims, audit, insurance, FCA, caseload, customer service, FCA, reports, ISO 9001, OP10, Insurance Conduct of Business Sourcebook, ICOBS
 
Unfortunately, due to time restrictions we cannot respond to every applicant, in the event that we haven’t contacted you within 48 hours please take it you have not been successful for this particular role, but your details will be kept on file and considered for all future vacancies.
We are an equal opportunities agency and welcome applicants from all backgrounds.
We are acting on behalf of the client as an Employment Agency in relation to this vacancy.

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