Quality Assurance Auditor Jobs in United Kingdom

My client is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, they are venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. They are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.

They have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.

As a Quality Assurance Analyst, you will be responsible for ensuring the quality of claims processing through the implementation and management of quality assurance processes and procedures. You will analyse claims data and identify emerging patterns and gaps in existing processes to improve the overall claims process.

The role

• Conduct audits and reviews of claims to ensure compliance with industry regulations, company policies, and procedures, verifying that payments were made correctly and in accordance with appropriate plans and policies
• Analyse claims data to identify trends, patterns, and opportunities for improvement
• Develop and implement quality assurance processes and procedures to improve the overall claims process
• Maintain relationships our clients' audit teams, providing support when claims functions are being audited and managing action points
• Create reports and analysis on claims quality, including trends, patterns, and opportunities for improvement; communicate findings to Claims stakeholders and identify opportunities to increase use of data in identifying trends
• Identify and analyse potential risks and fraud within the claims process
• Assist with developing training materials, documentation, quick reference guides and help to facilitate training sessions with the claims team
• Stay up-to-date on industry trends, regulations, and best practices related to claims quality assurance
• Participate in both internal and external audits as needed

Requirements

This is a remote role with occasional travel to London

Benefits include generous health-insurance package, a quality work from home set up and industry qualifications paid by the company (after a qualifying period)