Casualty QA Internal Auditor

Remote Worker LTD.; United States; Hybrid; USD 56,000 - 85,000; Full time

Benefits offered by this job

Davies Innovation Lab

Leadership training programme

Funding for professionalQualifications

Thrive at Davies learning programmes

The Davies Foundation

Local charity funding

Pension 5% employee 5% employer

My Choices at Davies discounts

Life assurance x4

Refer a Friend

Cycle to Work Scheme

Lease car salary sacrifice

Davies Incentive Plan

Enhanced maternity/paternity pay

25 days holiday (26/27 with tenure)

Job summary

Davies is seeking an experienced Claims Quality Assurance professional to lead technical, quality and data audits across casualty and related claims operations. You will assess handling effectiveness, analyse data, and provide actionable recommendations to improve customer outcomes and regulatory compliance.

You will collaborate with operational teams and leaders, design QA programmes, and drive continuous improvement through coaching and mentoring of colleagues.

Qualifications

• Proven experience in UK (including Scotland and NI) insurance claims handling, auditing, quality assurance, or a related technical claims role.
• Strong understanding of casualty, motor, disease, or professional risks claims.
• Good understanding of UK policy/indemnity coverages.
• Experience conducting audits, reviews, or QA assessments with minimal supervision.
• 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.

Responsibilities

• Audit and quality assurance across multiple claims operations.
• Lead planned, ad hoc, and thematic reviews to assess claims handling quality and operational effectiveness.
• Review claims files, processes, controls, and performance to identify strengths, weaknesses, trends, and risks.
• Design and execute claims-focused quality assurance programmes and themed reviews.
• Analyse data to identify trends, root causes, risks, and improvement areas.
• Produce detailed reports with findings, conclusions, and recommendations.
• Present audit outcomes to stakeholders at all levels.
• Monitor remediation activity and ensure corrective actions are completed on time.

Skills

UK insurance claims experience

Auditing

Quality assurance

Data analysis

Stakeholder management

Reporting

Strong communication

Program coaching

Tools

Excel

Microsoft Office

Job 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.

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