Casualty Claims QA Internal Auditor

Davies; United Kingdom; Remote; GBP 42,000 - 65,000; Full time

Benefits offered by this job

Davies Innovation Lab

Funding for professionalQualifications

25 days holiday

Job summary

Davies seeks a Casualty Claims QA Internal Auditor to join Claims Management in the United Kingdom. The role combines technical auditing, data analysis, and reporting to improve claims quality and regulatory compliance.

You will work with cross-functional teams to lead audits and develop continuous improvement initiatives, focusing on customer outcomes and operational excellence.

Qualifications

• Experience in UK casualty claims auditing and QA.
• Strong analytical and reporting skills.

Responsibilities

• Conduct technical, quality, and data audits across casualty claims.
• Lead internal audits and thematic reviews per policy and SLA.
• Analyze claims data to identify trends and improvement opportunities.
• Present findings to stakeholders and drive corrective actions.
• Collaborate with operational teams to implement QA recommendations.

Skills

UK casualty claims auditing

Auditing

Quality assurance

Data analysis

Education

Relevant insurance qualifications

Tools

Microsoft Office

Job description

Casualty Claims QA Internal Auditor

Department: Claims Management

Employment Type: Permanent - Full Time

Location: Home United Kingdom

Description

At Davies people are at the heart of all we do, out values state that we succeed together, and it is this, that makes the business a great place to work! You will be valued, supported, and receive excellent benefits including but not limited to:

• Exclusive Rewards Platform – Enjoy discounts at over 800 retailers.
• Generous Holiday Allowance – Start with 25 days of holiday, in addition to UK bank holidays, with the potential to increase over time and the flexibility to buy up to 5 additional days per year.
• Professional Growth – Benefit from ongoing development opportunities, training programs, and support in obtaining professional qualifications.

This role is ideally suited to an experienced claims professional, quality assurance specialist, or auditor with broad claims knowledge who enjoys analysing performance, identifying improvement opportunities, and influencing positive change. The position combines technical auditing, stakeholder management, coaching, reporting, and continuous improvement responsibilities to support high-quality claims outcomes and operational excellence.
This role combines claims quality assurance and casualty auditing responsibilities, encompassing the development, planning, execution, and reporting of technical, quality, and data audits across claims operations.
The successful candidate will assess claims handling effectiveness, analyse claims and operational data, identify risks, and provide actionable recommendations that improve customer outcomes, financial performance, regulatory compliance, and operational efficiency.
The position requires extensive collaboration with operational teams, business leaders, and other stakeholders across Casualty and related claims disciplines.

Due to the nature of this position, this role requires candidates to be a sole British National or dual national with one part being British, with no restrictions on working in the UK. Due to the national security requirements of this position, candidates must hold British Citizenship to be eligible to apply.

What will your day look like:

Audit and Quality Assurance

• Conduct technical, quality, and data audits across multiple claims operations
• Undertake internal audits in accordance with company audit policies, procedures, client requirements, and service level agreements.
• Lead planned, ad hoc, and thematic reviews to assess claims handling quality and operational effectiveness.
• Review claims files, processes, controls, and operational performance to identify strengths, weaknesses, trends, and risks.
• Design and execute claims-focused quality assurance programmes and themed reviews.

Analysis and Reporting

• Analyse claims data and operational information to identify trends, root causes, risks, and areas for improvement.
• Source and manage audit sample populations and review schedules.
• Produce detailed reports containing findings, conclusions, and practical recommendations.
• Present audit outcomes and performance insights to stakeholders at all levels.
• Monitor remediation activity and ensure corrective action plans are implemented successfully and within agreed timeframes.

Stakeholder Management

• Build strong working relationships with operational leaders, business owners, relationship managers, and handlers.
• Provide clear verbal and written feedback to claims handlers and management teams.
• Engage stakeholders throughout the audit lifecycle to ensure transparency and collaboration.
• Maintain independence while establishing trusted and effective business partnerships.

Continuous Improvement and Development

• Identify opportunities to enhance claims processes, controls, customer outcomes, and operational effectiveness.
• Support operational leaders in identifying training needs and capability gaps.
• Coach and mentor less experienced colleagues, promoting knowledge sharing and professional development.
• Support the implementation of quality improvement initiatives across claims functions.
• Contribute to improved data quality, process compliance, and consistent claims handling standards.

Knowledge and Abilities:

Essential

• Proven experience in UK (including Scotland and NI) insurance claims handling, auditing, quality assurance, or a related technical claims role.
• Strong understanding of one or more of the following:
  • Casualty claims – EL/PL/3rd Part Property damage & CAR
  • Motor Personal Injury claims
  • Disease claims
  • Professional Risks/Med Mal
• A good understanding of UK Policy/Indemnity coverages
• Experience conducting audits, reviews, or quality assurance assessments with minimal supervision.
• An understanding of UK Law, regulatory and compliance procedures
• Strong analytical and critical-thinking skills.
• Excellent attention to detail.
• Ability to identify risks and recommend practical improvements.
• Strong report-writing, presentation, and communication skills.
• Experience presenting findings and recommendations to stakeholders at all levels.
• Ability to develop, monitor, and drive corrective action plans through to completion.
• Experience working with claims data and audit sampling methodologies.
• Well-developed organisational and time management skills.
• Computer literacy and proficiency in Microsoft Office applications.
• Ability to work effectively in both hybrid and office-based environments.

Desirable Skills and Experience

• Experience performing quality assurance within insurance claims operations.
• Team leadership, supervisory, coaching, or mentoring experience.
• Advanced Excel and analytical tool capability.
• Relevant insurance industry qualifications.
• Understanding of responsible and ethical use of Artificial Intelligence within business processes.

Personal Attributes

• The successful candidate will demonstrate:
• A passion for quality and continuous improvement.
• Professional integrity and independence.
• Strong customer focus.
• Curiosity and critical thinking.
• Confidence in challenging and influencing stakeholders constructively.
• Adaptability and resilience.
• A collaborative approach to achieving business objectives.
• Commitment to driving excellence in claims management and customer outcomes

Benefits

Career & Purpose

• Davies Innovation Lab
• Leadership training programme
• Funding for professional qualifications
• Thrive at Davies; learning opportunities

Environmental & Social

• The Davies Foundation
• Local charity funding
• Pennies To Heaven
• Employee Resource Groups
• Employee volunteering programme

Financial Health

• Pension, 5% employee and 5% employer contribution
• My Choices at Davies provides; High Street discounts and Financial wellbeing hub
• Life assurance: x4
• Refer a Friend
• Cycle to Work Scheme
• Lease car salary sacrifice
• Davies Incentive Plan
• Enhanced maternity, paternity and adoption pay

Mental, Physical & Emotional Wellbeing

• Wellbeing centre; move, munch, money & mind focus
• Discounts with 100's of UK retailers
• EAP; 24/7 confidential helpline
• 25 days holiday, increases to 26 days after 5 years and 27 after 10 years
• Flexible working
• Dress for your day
• Inclusive employment policies eg. Menopause, fostering friendly, fertility, sabbatical policy and baby loss and miscarriage
• Flexible benefits include; holiday purchase plan and a opportunity to purchase heath cash plan and BUPA dental plan