Claims Handler - Quality Assurance

Talent, Support, Success.

About the Role

Reporting to the Assistant Manager, you will participate in implementing the Claims Quality Assurance frame work which will include comprehensive claims reviews, compiling succinct reports on finding with corrective actions documented and adherence to specific deadline.

Job Responsibilities

• Develop and promote the QA activity and ethos within the Department.
• Conduct detailed Reviews on all types of claim files.
• Identify quality and proactivity (including liability and indemnity) issues together with any regulatory or compliance issues.
• Provide meaningful commentary and observations on Review findings.
• Identify and complete key themed based Reviews arising from findings.
• Ensure that all targets and Review deadlines are strictly adhered too.
• Complete / Co-ordinate reporting and feedback with the relevant Claims Teams.

Job Responsibilities

Education

• Candidates will ideally be qualified Certified Insurance Practitioner (CIP) in General Insurance

Experiences

• Analytical skills and a very high level of attention to detail.
• Strong reporting skills.

Competencies

• Have a clear understanding of risk, control and the purpose of Review processes.

• Be familiar with: compliance requirements, legislation, and principles of QA.
• Have extensive background in claims to include injury claims, pre- litigation and litigation claims handling and motor/ property claims.
• Be familiar with claim handling processes and procedures
• Demonstrate strong organisation and time management skills.
• Be comfortable with change and flexibility.
• Previous audit experience
• Proficient in Microsoft applications

MCC

This role has a CF5 & CF6 control function designation.

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Our Benefits Include:

This role is positioned within FBD Claims Pay Band B