The Vacancy
We have a new and exciting internal opportunity for a Claims Peer Reviewer to join our Audit and Advisory team at Pro.
Using a combination of your insurance knowledge, communication and report writing skills, you will lead and complete claims peer reviews. Working closely with the client and the Audit and Advisory team, you will complete audits and report to the client on your findings.
Pro operates a hybrid working model, and this role will be predominantly working from home with travel to the Gloucester or London offices, as required.
Key responsibilities / tasks may include :
- Undertake / Lead claims peer reviews – undertaking file reviews, building and maintaining client relationships and reporting
Ensure high quality reports are generated that meet the client requirements
Liaising with clients to report any concerns, progress updates; compile work plans; undertake on-site work including wrap up meetingsWriting reports / appendices; If required (or if significant issues are identified), prepare initial summary assessment of findings for client.Issue report & invoiceProvide SME support to Advisory projects e.g. Due DiligenceSupport TPA auditsFile testing
Liaise with all stakeholders to ensure timely delivery of project / audit within agreed budgetsReview specificdocumentation provided by the TPA / client to understand focus of audit / peer review
claims files and populate testing templatesWrite report to summarise findings or check (quality control) reports to ensure adherence to the scopeKnowledge, Skills and Experience
Analytical, able to review reports, identify issues and assess their importanceAble to communicate effectively both verbally and in writing with both internal and external stakeholders and to successfully manage these relationshipsThe ability to manage time, meet deadlines and prioritiseTeam worker as well as able to work on own initiativeMeticulous, precise, thorough, good at record keepingStrong computer skills – good working knowledge of MS Office, intermediate excel, word and powerpoint skills, knowledge of access advantageousExperience of Claims adjustingExperience of report writingOutcome focused, self-motivated, confident and enthusiasticDiplomatic, cooperative and collaborative in approachAssertive, persuasive, resilience