Job ID: MAMCGLOBALR EXTERNALENGLOBALRequisition: R_ Company: MercerLocation: London, United KingdomEmployment type: RegularCategory: ConsultingIndustry: Real EstateSalary: 75000Posted: Mercer Marsh Benefits (MMB) are looking for a Private Medical Plan Auditor to join our Workplace Health team in London , although for the right candidate we may consider candidates based from our other UK offices . This is a hybrid working role, with a requirement work three-days per week in the office.
Role overview - To provide independent oversight of our clients’ Private Medical Trust’s claims processing performed by the Third-Party Administrator (TPA), ensuring claims authorisation decisions and payments are accurate and compliant with the scheme benefit design, authorisation requirements, applicable fee schedules/tariffs, and internal controls. The role also reviews the quality of the member claims experience through their interaction with the TPA. The role identifies areas of digression from the benefit design or authorisation requirements, supports recoveries/corrections where appropriate, makes recommendations to improve end-to-end claims quality and the member experience through insight and corrective actions.
We will count on you to:
Audit delivery & claims quality
Develop and deliver a risk-based audit report across claim types (e.g., inpatient/day case, outpatient, diagnostics, therapies, mental health, oncology, etc.) aligned to the Trust’s governance priorities and agreed audit scope.
Perform post-
Private Medical Plan Auditor in Kennington employer: Mercer Consulting
As a leading global advisory firm based in London, we pride ourselves on fostering an inclusive culture that prioritises professional development and well-being. Our hybrid work model offers flexibility while providing a range of career opportunities, allowing you to engage with senior stakeholders and contribute to impactful remuneration consulting. Join us to be part of a dynamic team where your analytical skills will shape executive pay strategies for top-tier clients.
