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TPA / DCA Auditor

TPA / DCA Auditor

Pro Insurance Solutions LtdUnited Kingdom
12 days ago
Job type
  • Full-time
Job description

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Pro Insurance currently has an exciting opportunity for an experienced claims Auditor to join our audit team. They will undertake claims audits, ensuring high quality reports are generated that meet the client requirements.

Pro operates a flexible hybrid working policy and this role would be based working at home and one of our UK offices. Travel may be required in this role

Skills and Responsibilities

  • Coordinate delivery of project / audit including liaising with clients to report any concerns, progress updates; compile & communicate work plan to team including allocating responsibility for scope parts; maintain oversight of on-site work; chair wrap up meetings.
  • Undertaking pre, onsite and post audit activities
  • Write or supervise production of report / appendices; If required (or if significant issues identified) prepare initial summary assessment of findings for client.
  • Communicate effectively with the various stakeholders in the project including team members)
  • Ensure timesheet is completed accurately to enable effectively monitoring of the profitability of the audit
  • Work with the peer reviewer to ensure high quality work product

Audit Specific Work

  • Review PAQ responses and associated documentation, where appropriate draft follow up questions / enquiries that should be undertaken during on-site review, (refer to senior auditor as necessary).
  • Prepare audit report and associated appendices.
  • Liaise with Audit Administrator regarding audit preparations / preparedness of Coverholder / TPA.
  • Where requested (or if significant issues have been identified) prepare initial summary assessment of audit findings for client. Refer to Peer Reviewer or Senior Auditor before releasing to client.
  • Report production and associated appendices.
  • Submit audit for Peer Review.

    • Knowledge and Experience

  • Knowledge and experience of using Lloyd’s coverholder & DCA audit scopes
  • 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
  • Outcome focused, self-motivated, confident and enthusiastic
  • Diplomatic, cooperative and collaborative in approach
  • Prepared to travel – we are currently working agilely based both at home and in the office as and when require

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