TPA / DCA Auditor

PRO GLOBAL; United Kingdom; Hybrid; GBP 80,000 - 100,000; Full time

Job summary

A specialist outsourcing company in the UK is seeking an experienced Claims Auditor. This role involves conducting audits, preparing reports, and liaising with clients. The ideal candidate should possess strong analytical and communication skills. The position supports hybrid working and offers a range of benefits, including 25 days of holiday and a pension scheme.

Benefits

Healthcare

Life assurance

25 days holiday plus bank holidays

Training & Development

Employee referral scheme

Pension scheme

Qualifications

• Experience in claims auditing.
• Ability to communicate effectively with stakeholders.
• Meticulous record keeping and attention to detail.

Responsibilities

• Conduct claims audits ensuring quality reports.
• Coordinate audit projects, liaising with clients.
• Draft and supervise audit reports and appendices.

Skills

Claims auditing

Report writing

Time management

Analytical skills

Communication skills

Teamwork

Computer skills

Tools

MS Office

Excel

PowerPoint

Access

Job description

The Vacancy

Pro Insurance currently has an exciting opportunity for an experienced claims Auditor to join our audit team. They will undertake claims audits, ensuring high quality reports are generated that meet the client requirements.

Pro operates a flexible hybrid working policy and this role would be based working at home and one of our UK offices. Travel may be required in this role

Skills and Responsibilities

• Undertake claims audits
• Coordinate delivery of project / audit including liaising with clients to report any concerns, progress updates; compile & communicate work plan to team including allocating responsibility for scope parts; maintain oversight of on-site work; chair wrap up meetings.
• Undertaking pre, onsite and post audit activities
• Write or supervise production of report / appendices; If required (or if significant issues identified) prepare initial summary assessment of findings for client.
• Communicate effectively with the various stakeholders in the project including team members)
• Ensure timesheet is completed accurately to enable effectively monitoring of the profitability of the audit
• Work with the peer reviewer to ensure high quality work product

Audit Specific Work

• Review PAQ responses and associated documentation, where appropriate draft follow up questions / enquiries that should be undertaken during on-site review, (refer to senior auditor as necessary).
• Prepare audit report and associated appendices.
• Liaise with Audit Administrator regarding audit preparations / preparedness of Coverholder / TPA.
• Where requested (or if significant issues have been identified) prepare initial summary assessment of audit findings for client. Refer to Peer Reviewer or Senior Auditor before releasing to client.
• Report production and associated appendices.
• Submit audit for Peer Review.

Knowledge and Experience

• Knowledge and experience of using Lloyd's coverholder & DCA audit scopes
• Report writing
• Analytical, able to review reports, identify issues and assess their importance
• Able to communicate effectively both verbally and in writing with both internal and external stakeholders and to successfully manage these relationships
• The ability to manage time, meet deadlines and prioritise
• Team worker as well as able to work on own initiative
• Meticulous, precise, thorough, good at record keeping
• Strong computer skills - good working knowledge of MS Office, intermediate excel, word and PowerPoint skills, knowledge of access advantageous
• Outcome focused, self-motivated, confident and enthusiastic
• Diplomatic, cooperative and collaborative in approach
• Assertive, persuasive, resilient
• Prepared to travel - we are currently working agilely based both at home and in the office as and when require

By submitting your personal data to Pro Insurance and by using our website, you give your consent that all personal data you submit as part of your application may be processed by us in the manner and for the purposes described in our HR applicant privacy policy. For further information, please refer to our Data Protection Policy, a copy of which can be requested from Pro HR.

The Company

Pro is a specialist outsourcing and consulting company focused solely on the insurance and reinsurance industries.

We work with clients to identify changes needed to improve their business processes, minimise operating overheads and implement the controls required to meet new regulations, delivering tailored solutions to meet clients' needs.

Our UK offices are in Gloucester, Glasgow, Liverpool, Horsham and central London. We are also a global company with offices in the United States, Cologne and Unna (Germany) and Argentina. We also operate a hybrid working model so you can work at home and in the office.

We provide expert support in the areas of underwriting, claims management, financial and technical accounting, and risk and auditing, utilising the best technology available on the market and adopting a proactive approach.

Pro Values

WE GET THINGS DONE:

We commit concrete actions and do what we promise.

WE DO THE RIGHT THING:

With integrity at the heart of every decision, we focus on what will add most value.

WE BRING NEW THINKING:

We are curious, creative and insightful. We are not afraid to evolve.

WE ARE IN IT TOGETHER:

We are inclusive. We help each other and our clients to shine.

WE ARE ENERGISED:

We bring drive and enthusiasm to our work.

Benefits

Healthcare
For yourself (you can add family members on at additional cost).

Life assurance
you will receive a death in service benefit equal to 4 times your salary.

Holiday
25 days plus bank holidays and discretionary day off for your birthday.

Training & Development
we have inhouse Learning and Development team that will support you, giving you the tools to succeed.

Employee referral scheme
Staff bonus for introducing a candidate that we employ as a result of that introduction.

Pension scheme
Company pension contribution up to 10%.