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Claims Peer Reviewer
Claims Peer ReviewerPRO GLOBAL • Nationwide, UK
Claims Peer Reviewer

Claims Peer Reviewer

PRO GLOBAL • Nationwide, UK
19 days ago
Job type
  • Full-time
Job description

We have an exciting internal opportunity for someone to join the Audit and Advisory team as a Claims Peer Reviewer.

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, with time split between working from one of our UK offices in Gloucester or London 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 meetings
  • Writing reports / appendices; If required (or if significant issues are identified), prepare initial summary assessment of findings for client.
  • Issue report & invoice
  • Provide SME support to Advisory projects e.g. Due Diligence
  • Support TPA audits
  • File testing

  • Liaise with all stakeholders to ensure timely delivery of project / audit within agreed budgets
  • Review specific
  • documentation provided by the TPA / client to understand focus of audit / peer review

  • claims files and populate testing templates
  • Write report to summarise findings or check (quality control) reports to ensure adherence to the scope
  • Knowledge, Skills and Experience

  • Experience of Claims adjusting
  • Experience of London Market Claims Systems
  • Analytical, able to review reports, identify issues and assess their importance
  • Able to communicate effectively both verbally and in writing with both internal and external stakeholders and to successfully manage these relationships
  • The ability to manage time, meet deadlines and prioritise
  • Team worker as well as able to work on own initiative
  • Meticulous, precise, thorough, good at record keeping
  • Strong computer skills – good working knowledge of MS Office, intermediate excel, word and powerpoint skills, knowledge of access advantageous
  • Experience of report writing
  • Outcome focused, self-motivated, confident and enthusiastic
  • Diplomatic, cooperative and collaborative in approach
  • Assertive, persuasive, resilience
  • By submitting your personal data to Pro Insurance and by using our website, you give your consent that all personal data you submit as part of your application may be processed by us in the manner and for the purposes described in our HR applicant privacy policy.

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    Claims Peer Reviewer • Nationwide, UK

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