Claims Validation & Compliance Specialist

AKG (UK) EMPLOYMENT LIMITED; City Of London; On-site; GBP 42,000 - 60,000; Full time

Job summary

AKG UK - Shared Services is seeking a Compliance Officer to independently review claims and supporting evidence against contract requirements, recording outcomes and escalating issues before financial approval.

The role ensures consistent evidence review, proper record-keeping and timely escalation of compliance risks, while maintaining independence and objective decision-making within the Claims & Compliance function.

Qualifications

• Experience in compliance, claims validation or a comparable evidence-checking role.
• Excellent attention to detail and ability to review documentary evidence consistently.
• Ability to follow programme requirements, procedures and checklists while exercising sound judgement on exceptions.
• Good written communication skills and confidence raising evidence queries.
• Ability to identify inconsistencies and recognise when an issue requires escalation.
• Ability to work accurately to volume and deadline requirements.
• Good organisational skills and ability to manage competing priorities.
• Ability to work collaboratively while maintaining objectivity and appropriate professional challenge.
• High levels of integrity and professional judgement.

Responsibilities

• Review complete employer claim packs against the approved employer and placement record.
• Check participant details, funded period, hours and relevant start, change and leaver information against approved records.
• Review wage and supporting evidence for consistency with the claim and agreed evidence standards.
• Review onboarding-cost evidence for participant linkage, business rationale, eligibility and potential duplicate funding.
• Identify missing, inconsistent, unsupported or potentially ineligible evidence.
• Raise clear and specific evidence queries where further information or clarification is required.
• Record evidence reviewed, validation date, outcome, exceptions and rationale in the required register or system.
• Process allocated claims accurately and within agreed timescales.

Job description

AKG UK - Shared Services is seeking a Compliance Officer to independently review claims and supporting evidence against contract requirements, recording outcomes and escalating issues before financial approval.

The role ensures consistent evidence review, proper record-keeping and timely escalation of compliance risks, while maintaining independence and objective decision-making within the Claims & Compliance function.