Claims Quality Assurance Technician

Odmeňovanie

Informácie o pozícii

The purpose of this role is to assist the Claims Operations function in the delivery of high-quality client services through the provision of administrative support to the Claims teams. The role is responsible for undertaking a variety of claims support services and ensuring that the desired quality and service levels are met at all times.

The purpose of this role is to support the Head of Claims Performance and Delegated Authority in overseeing and managing claims performance, as well as providing operational administration, delegated authority management, project support, and data/MI reporting.

Vaše úlohy

• Work with the Head of Claims Performance and Delegated Authority to deliver MI, performance analysis and insight across the Claims portfolio handled by the in-house Claims team and our outsource partners.
• Assist with onboarding, due diligence, audit, and ongoing management of Third Party Claims Administrators who we outsource claims handling to.
• Assist with ensuring the accuracy and completeness of bordereaux processing of claims bordereaux using our bordereaux management system.
• Support with the delivery of data for management reporting, internal & external audits and claims regulatory information, as required.
• Drive data quality assurance and performance monitoring for the Claims function by overseeing work of our key BPO provider.
• Handle the processing of manual claims information received from brokers and clients and ensuring timely settlement.
• Collaborate with the Underwriting Operations team in order to timely and accurately process the overall net statement results.
• Maintain appropriate files, including complete documentation and notes as well as record of diary and static claims management.
• Work with the Head of Claims Performance to support with projects including:
  • Exploring the use of robotics and automation to enhance processes and reduce manual administration.
  • Assist with the review of new Insurtech systems and solutions that could enhance claims management capabilities.
  • Involvement in market change programs.

Skúsenosti / požiadavky

• At least 2 year of experience working within a commercial (re)insurance carrier or delegated authorities or other insurance and reinsurance lines of business.

Zručnosti

• Relevant (re)insurance industry experience, specifically within the Underwriting and Claims Community