Quality Auditor Niche and DER

Davies; Preston; On-site; GBP 30,000 - 45,000; Full time

Job summary

A leading claims management company in Preston is seeking a Quality Auditor to ensure the accuracy of claims processing. In this role, you will conduct regular audits, identify trends for process improvements, and collaborate with teams to enhance workflows. The ideal candidate has experience in claims auditing and strong analytical skills. The position offers a supportive team environment and comprehensive benefits.

Benefits

Reward platform - discounts for over 800 retailers

25 days holiday

Well-being centre

Recognition programme

Paid fertility appointments

Pension - matched contribution at 5%

Life Assurance (4 x basic salary)

Qualifications

• Experience in claims auditing within a TPA or insurance environment.
• Strong understanding of regulatory compliance and quality assurance principles.
• Ability to interpret data and identify trends.

Responsibilities

• Conduct regular audits of claims files to assess accuracy and compliance.
• Identify errors, inconsistencies, and potential fraud based on audit findings.
• Collaborate with teams to provide feedback and coaching from audits.

Skills

Claims auditing experience

Strong understanding of claims processes

Analytical mindset

Excellent communication skills

Proficiency in audit software and Excel

Job description

Quality Auditor Niche and DER

Department: Claims Management

Employment Type: Permanent - Full Time

Location: Preston

Description

New Opportunity Great Team Environment
Purpose of the Role:To ensure the accuracy, compliance, and efficiency of claims processing within a claims operation environment by conducting audits, identifying trends, and driving continuous process improvement initiatives.

Your New Role

Key Responsibilities:Conduct regular audits of claims files to assess accuracy, completeness, and adherence to internal policies and regulatory standards.

• Identify errors, inconsistencies, or potential fraud, and escalate findings appropriately.
• Collaborate with claims handlers and team leaders to provide feedback and coaching based on audit results.
• Analyse audit data to identify systemic issues and recommend process enhancements.
• Develop and maintain audit tools, scorecards, and reporting dashboards.
• Support the implementation of corrective actions and monitor their effectiveness.
• Participate in cross-functional projects aimed at improving claims workflows and customer outcomes.
• Stay current with industry regulations, compliance requirements, and best practices.

Process Improvement Focus:

• Lead root cause analysis on recurring audit findings and inefficiencies.
• Partner with operational leaders to redesign workflows and eliminate waste.
• Contribute to the development of training materials and SOPs based on audit insights.
• Track and report on KPIs related to quality and process improvement.

What You'll Bring to the Role

• Experience in claims auditing within a TPA or insurance environment.
• Strong understanding of claims processes, regulatory compliance, and quality assurance principles.
• Analytical mindset with the ability to interpret data and identify trends.
• Excellent communication and interpersonal skills for delivering feedback and influencing change.
• Proficiency in audit software, claims management systems, and Excel.

Desirable Qualifications:Familiarity with FCA regulations and TCF (Treating Customers Fairly) principles.

Not sure you meet all qualifications? Let us decide! Research shows that women and members of other under-represented groups tend to not apply to jobs when they think they may not meet every qualification, when in fact, they often do! We are committed to creating a diverse and inclusive environment and strongly encourage you to apply.

Benefits

Davies are committed to being a diverse and inclusive workplace. We welcome candidates of all genders, gender identity and expression, neurodiversity, sexual orientation, disability, physical appearance, body size, race, age, nationality, and belief (or lack thereof).

• Join us and enjoy our ever-evolving benefits, including but not limited to:
• Reward platform - discounts for over 800 retailers
• 25 days holiday (rising with service)
• Well-being centre
• Recognition programme
• Paid fertility appointments
• Fostering friendly employer
• Pension - matched contribution at 5%
• Life Assurance (4 x basic salary)
• Development, training, and professional qualification

Greater Manchester, Liverpool, Leeds, UK

Greater Manchester, Liverpool, Leeds, UK