Hybrid Private Medical Claims Auditor

International Association of Insurance Professionals (IAIP); Greater London; Hybrid; GBP 45,000 - 65,000; Full time

Benefits offered by this job

Professional development

Inclusive culture

Well-being benefits

Job summary

Mercer Marsh Benefits in London is seeking a Private Medical Plan Auditor to join the Workplace Health team. The role combines independent oversight of PMI claims processing and reporting on audit findings to enhance accuracy and member experience.

Hybrid work is offered with three days in the office; the successful candidate will review TPA claim decisions, validate benefit entitlement, and deliver client-ready insights to improve end-to-end processing.

Qualifications

• Solid experience in PMI claims operations (TPA/insurer).
• Exposure to claims decisioning and authorisations.
• Attention to detail and data interpretation.

Responsibilities

• Audit delivery and claims quality across PMI types.
• Produce client-ready audit reports with findings and financial impact.
• Present audit recommendations to Trust/client stakeholders.

Skills

PMI claims operations

Claims decisioning

Authorisations & assessments

Microsoft Office

Project management

Scope development

Stakeholder coordination

Data gathering & analysis

Education

PMI claims qualifications

UK employee benefits knowledge

Tools

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Mercer Marsh Benefits in London is seeking a Private Medical Plan Auditor to join the Workplace Health team. The role combines independent oversight of PMI claims processing and reporting on audit findings to enhance accuracy and member experience.

Hybrid work is offered with three days in the office; the successful candidate will review TPA claim decisions, validate benefit entitlement, and deliver client-ready insights to improve end-to-end processing.