Property Claims Evaluator
To facilitate quality during the end to end claims process ensuring that the business meets its strategic aims of quality and compliance. Conducting claims reviews and fact finding under the direction of the senior auditor using an in-depth knowledge of the process to establish the facts and suggest changes to normal processes that will benefit the business. Also conduct in depth reviews on dispute cases to ensure we defend the company’s reputation.
- Carry out all the aspects of internal case and dispute reviews in line with direction from the Head of Compliance.
- Prepare and present reports (verbal and written) that reflect the results and findings of dispute reviews, following Company values in a professional, clear and concise manner.
- Conduct follow up reviews and monitor remedial action.
- Identify risks and opportunities to improve and make recommendations to help manage and control such risks and support the business’s approach to continuous improvement.
- Maintain open communication with management and auditees.
- Conduct any reviews or tasks requested by management, provided such reviews and tasks do not compromise the independence or objectivity of the internal review function.
- Complete periodic holistic reviews, using Complaint and Feedback RCA (justified and unjustified) data together with Audit data.
- Excellent team working skills.
- Insurance and claims function knowledge
- Knowledge of FOS referrals
- Supportive to colleagues.
- An investigative and inquisitive approach.
- Solves problems and uses own experience to reach a satisfactory conclusion.
- High attention to detail and excellent analytical skills.
- Ability to manipulate large amounts of data and to compile detailed reports.
- Sound independent judgement.
- Ability to work under pressure
- Ability to work quickly without compromising quality as this is a key attribute
- In depth insurance and building technical competencies.
- Level of compliance and enterprise risk knowledge desirable
- Ability to work to exacting targets