Quality Assurance & Compliance Claims Advisor

icare; Sydney; Hybrid; AUD 90,000 - 120,000; Full time

Benefits offered by this job

Flexible hybrid work

Gym subsidies

Health checks

EAP support

Career development

Learning opportunities

Extra leave

Health insurance discounts

Salary packaging

Novated leasing

Recognition programs

Mental health initiatives

Support for hidden disabilities

Job summary

icare is seeking a Quality Assurance specialist to strengthen general lines claims quality across NSW. You’ll review complex claims, identify trends and drive improvements with claims, underwriting, legal and risk teams.

Join a collaborative team in a hybrid Sydney role, delivering practical recommendations and shaping the ongoing quality assurance program within the scheme. The role emphasizes oversight of external service providers, regulatory compliance, and stakeholder communication, with

Qualifications

• Strong technical general lines claims experience, with depth in at least one area such as liability, property, abuse, medical negligence or construction claims.
• Experience working with complex claims and the judgement to assess whether claims have been appropriately managed and decisions are well supported.
• Quality assurance, audit, assurance or claims review experience, with the ability to identify trends and improvement opportunities.
• Confidence communicating technical findings and recommendations to both internal and external stakeholders.
• Experience working alongside legal professionals or a legal background would be highly regarded.
• General insurance industry experience and an understanding of relevant regulatory and compliance requirements.
• A collaborative and curious approach, with the ability to challenge constructively and help others strengthen quality.

Responsibilities

• Review complex general lines claims to assess quality, compliance, reserving and the effectiveness of claims decisions.
• Use your technical expertise to identify trends, emerging issues and claims leakage to strengthen internal practices.
• Deliver quality assurance reviews and translate findings into clear, practical recommendations for stakeholders.
• Partner with claims, underwriting, legal, risk and transformation teams to support continuous improvement.
• Review and validate quality assurance activity undertaken by external claims service providers.
• Contribute to the design and ongoing improvement of the General Lines quality assurance program.
• Provide quality assurance expertise and insights into broader projects and initiatives across the scheme.

Skills

General lines claims

Liability

Property

Abuse

Medical negligence

Construction claims

Quality assurance

Audit

Stakeholder communication

Regulatory compliance

Job description

icare is seeking a Quality Assurance specialist to strengthen general lines claims quality across NSW. You’ll review complex claims, identify trends and drive improvements with claims, underwriting, legal and risk teams.

Join a collaborative team in a hybrid Sydney role, delivering practical recommendations and shaping the ongoing quality assurance program within the scheme. The role emphasizes oversight of external service providers, regulatory compliance, and stakeholder communication, with