At a Glance
- Tasks: Conduct audits, identify trends, and improve claims processing efficiency.
- Company: Join Davies, a diverse and inclusive workplace focused on quality assurance.
- Benefits: Enjoy 25 days holiday, discounts at 800+ retailers, and a supportive work environment.
- Why this job: Make a real impact in claims management while developing your skills in a collaborative team.
- Qualifications: Experience in claims auditing and strong analytical skills are essential.
- Other info: We encourage all candidates, especially under-represented groups, to apply!
The predicted salary is between 36000 - 60000 £ per year.
Quality Auditor Niche and DER
Department: Claims Management
Employment Type: Permanent – Full Time
Location: Preston
Description
New Opportunity Great Team Environment
Purpose of the Role:To ensure the accuracy, compliance, and efficiency of claims processing within a claims operation environment by conducting audits, identifying trends, and driving continuous process improvement initiatives.
Your New Role
Key Responsibilities:Conduct regular audits of claims files to assess accuracy, completeness, and adherence to internal policies and regulatory standards.
- Identify errors, inconsistencies, or potential fraud, and escalate findings appropriately.
- Collaborate with claims handlers and team leaders to provide feedback and coaching based on audit results.
- Analyse audit data to identify systemic issues and recommend process enhancements.
- Develop and maintain audit tools, scorecards, and reporting dashboards.
- Support the implementation of corrective actions and monitor their effectiveness.
- Participate in cross-functional projects aimed at improving claims workflows and customer outcomes.
- Stay current with industry regulations, compliance requirements, and best practices.
Process Improvement Focus:
- Lead root cause analysis on recurring audit findings and inefficiencies.
- Partner with operational leaders to redesign workflows and eliminate waste.
- Contribute to the development of training materials and SOPs based on audit insights.
- Track and report on KPIs related to quality and process improvement.
What You\’ll Bring to the Role
- Experience in claims auditing within a TPA or insurance environment.
- Strong understanding of claims processes, regulatory compliance, and quality assurance principles.
- Analytical mindset with the ability to interpret data and identify trends.
- Excellent communication and interpersonal skills for delivering feedback and influencing change.
- Proficiency in audit software, claims management systems, and Excel.
Desirable Qualifications:Familiarity with FCA regulations and TCF (Treating Customers Fairly) principles.
Not sure you meet all qualifications? Let us decide! Research shows that women and members of other under-represented groups tend to not apply to jobs when they think they may not meet every qualification, when in fact, they often do! We are committed to creating a diverse and inclusive environment and strongly encourage you to apply.
Benefits
Davies are committed to being a diverse and inclusive workplace. We welcome candidates of all genders, gender identity and expression, neurodiversity, sexual orientation, disability, physical appearance, body size, race, age, nationality, and belief (or lack thereof).
- Join us and enjoy our ever-evolving benefits, including but not limited to:
- Reward platform – discounts for over 800 retailers
- 25 days holiday (rising with service)
- Well-being centre
- Recognition programme
- Paid fertility appointments
- Fostering friendly employer
- Pension – matched contribution at 5%
- Life Assurance (4 x basic salary)
- Development, training, and professional qualification
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Quality Auditor Niche and DER employer: Davies
Contact Detail:
Davies Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Quality Auditor Niche and DER
✨Tip Number 1
Familiarise yourself with the latest FCA regulations and TCF principles. Understanding these will not only help you in the role but also demonstrate your commitment to compliance during interviews.
✨Tip Number 2
Network with professionals in the claims auditing field. Attend industry events or join relevant online forums to connect with others who can provide insights and potentially refer you to opportunities at StudySmarter.
✨Tip Number 3
Brush up on your analytical skills, especially in interpreting data and identifying trends. Consider taking a short course or using online resources to enhance your proficiency in audit software and Excel.
✨Tip Number 4
Prepare to discuss specific examples of how you've contributed to process improvements in previous roles. This will showcase your ability to drive change and align with the responsibilities of the Quality Auditor position.
We think you need these skills to ace Quality Auditor Niche and DER
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities of a Quality Auditor Niche and DER. Familiarise yourself with claims auditing processes, compliance requirements, and the importance of accuracy in claims processing.
Tailor Your CV: Highlight your relevant experience in claims auditing and any specific skills that align with the job description. Use keywords from the job posting to ensure your CV stands out to recruiters.
Craft a Compelling Cover Letter: Write a cover letter that showcases your analytical mindset and communication skills. Mention specific examples of how you've contributed to process improvements or handled audits in previous roles.
Showcase Continuous Improvement Mindset: In your application, emphasise your commitment to continuous improvement. Discuss any past experiences where you've identified trends or implemented changes that enhanced efficiency or compliance.
How to prepare for a job interview at Davies
✨Know Your Auditing Basics
Brush up on your knowledge of claims auditing processes and regulatory compliance. Be prepared to discuss your experience in these areas, as well as any specific tools or software you've used in previous roles.
✨Showcase Your Analytical Skills
Prepare examples that demonstrate your analytical mindset. Think about times when you've identified trends or systemic issues in data and how you recommended improvements based on your findings.
✨Communicate Effectively
Since the role involves providing feedback and coaching, practice articulating your thoughts clearly. Use the STAR method (Situation, Task, Action, Result) to structure your responses during the interview.
✨Stay Current with Industry Standards
Familiarise yourself with the latest FCA regulations and TCF principles. Being knowledgeable about current industry standards will show your commitment to compliance and quality assurance.