Claims Quality Assurance Analyst in City of Westminster

The Quality Assurance & Governance team is based in London, York, Colchester, Europe and the US.

Key responsibilities

• The Claims Quality Assurance Analyst is responsible for conducting comprehensive reviews of claims files to ensure compliance with regulatory and internal quality frameworks.
• This role involves assessing adherence to Hiscox Claims Best Practices, identifying trends, and recommending corrective actions to enhance claims performance.
• The Analyst supports the preparation of detailed management information (MI) and analytic reports, communicates key findings to relevant stakeholders, and supports the development and implementation of training and remediation plans.

The role covers the following:

• Conducting Quality Assurance Audit, both internal & TPA, where appropriate, reviewing claims, measuring results against Hiscox's best practice standards and regulatory requirements.
• Undertake regular re-review of assessor reviews to ensure calibration in scoring and assessment.
• Supporting preparation of qualitative management information and analytical reports that highlight claims findings, emerging trends, and areas requiring attention.
• Analysts synthesize data, present actionable recommendations, and ensure clear communication with stakeholders to facilitate informed decision-making.
• Collaborate with business units and management teams to provide constructive feedback, deliver training sessions, where appropriate and propose remedial action plans, ensuring that best practices are embedded throughout the claims process.

Knowledge & Experience

• Maintain a sound understanding of relevant classes of business, products and services within the London Market.
• Maintain a sound understanding of relevant policies, processes and systems utilised by the London Market claims function.
• Maintain an understanding of the legal and regulatory environment within which London Market operates.

Specification: Claims Quality Assurance review handling is a must.

Required Skills

• Knowledge or experience of working in the Lloyds London Market.
• Experience of working across multiple internal and external teams including third party suppliers.
• Strong people and relationship building skills, notably influencing and negotiating.
• Excellent communication skills, both oral and written.
• Someone who can analyse complex issues but is also pragmatic, commercial and solution orientated.
• An ability to use own initiative and confidence in making decisions, as well as ability to work within a team.
• Good commercial awareness.

About Hiscox

As an international specialist insurer we are far removed from the world of mass market insurance products. Instead we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things. We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions. Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but.

Diversity and Hybrid working

At Hiscox we care about our people. We hire the best people for the job and we're committed to diversity and creating a truly inclusive culture, which we believe drives success. We have also learned over the past few years that working life doesn't always have to be in the office, and now it is safe to do so we have introduced hybrid working to encourage a healthy work life balance. This hybrid working model is set by the team rather than the business to enable you to manage your own personal work-life balance. We see it as the best of both worlds; structure and sociability on one hand, and independence and flexibility on the other.