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Travel Claims Quality Assurance Executive

Cardiff

  1. Full time

Up to 23k

About the job

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This is an exciting opportunity to join us as a Quality Assurance Executive. Reporting to the Travel Claims Manager, you will oversee a broad range of quality assurance reviews, audits, along with monitoring and checking of our risk control framework for the Travel Claims operation, including our in-house Claims Team and third-party Medical Assistance supplier (CEGA).

We are looking for someone who has a keen eye for detail and who sets high standards when it comes to the way things are done. You need to be good at building positive relationships with a wide variety of stakeholders and be effective at developing and encouraging others around you to raise the bar on quality. The key focus will be to identify if claims are being handled correctly and in line with agreed processes and procedures, ensure we are delivering fair customer outcomes, managing costs effectively, ensuring efficient processing of claims and good control of our risks.

The types of reviews you will undertake as part of the role will include:

  • Reviews of claims at all stages of the lifecycle assessing decision making, customer service, quality, and cost control, working closely with the Team Managers to drive continuous improvement of our Claims Handlers
  • Leakage reviews to establish if claims are being handled and settled correctly, in accordance with policy terms and conditions, claims processes and policy limits
  • Third-party supplier reviews to ensure adherence to contract terms, quality of claims handling, cost containment and fair customer outcomes
  • Ad-hoc reviews and audits of key processes and procedures, to ensure they are effectively working such as fraud, recoveries, complaint handling, customer feedback etc…
  • Regular monitoring and checking of our risk control framework

This is an exciting opportunity to help support a culture of continuous improvement and to ensure we always challenge the status quo.

You will be required to use your initiative and implement ideas aimed at improving performance, which consider the customer, our claims handlers and the business needs collectively. You will have set targets and deadlines to achieve each month, as the results of quality assurance and audits will be used for incentive, CRMI and other reporting measures.

You will be required to identify compliance and quality training needs and help design training where appropriate, ensure the department remains up to date with new governance which is introduced (considering not just customer outcomes for the general customer base but also the needs of vulnerable customers), be pro-active in identifying common breaches /poor customer feedback, and suggesting and implementing solutions to improve.

Your main duties will include:

  • Undertake a variety of reviews/audits of internal claims operation and external suppliers against an agreed scope
  • Work with your Manager to define the requirements of future reviews and checks across operational processes
  • Prepare reports and insights to help identify good practices or areas for improvement
  • Identify opportunities for improvements to processes/controls that ensure that the operation remains fit for purpose in the context of governance and oversight
  • Ensure that we have an efficient and robust remediation process in place and a control to manage it
  • Work closely with handlers who require additional support/training/coaching/development
  • Provide detailed and constructive feedback via the quality assurance reviewing forms
  • Help drive continuous improvement by spotting training needs, knowledge gaps and process/procedural refinement
  • Update and maintain quality assurance results and records
  • Ensure that process, procedure, and training documents are regularly reviewed, maintained, and updated
  • Actively participate in cost control activities, such as leakage audits and recovery opportunities
  • Ensure that our quality assurance strategy remains up to date and in line with regulatory guidelines
  • Have regular oversight of our risks and controls to ensure they are being managed effectively

The experience and skills required are:

  • Must have a strong appetite for improving the customer journey and rectifying unfair customer outcomes
  • Must be confident and able to communicate clearly to all staff members from frontline staff to senior stakeholders
  • A strong work ethic and desire to support and develop staff
  • A good understanding of Microsoft packages
  • Strong attention to detail and analytical skills
  • Confident decision-making skills
  • Pro-active, organised, and able to manage their time effectively and take initiative
  • A great can-do attitude to support the business in change whilst achieving good customer outcomes
  • Experience of reviewing/monitoring claims processes preferred but not essential
  • Experience of auditing and report writing preferred but not essential
  • Experience of understanding risk and controls preferred but not essential

About Admiral 

Admiral Group is a FTSE 100 Financial Services company with a presence in eight countries. The company was set up in 1993 as a car insurance specialist, but since then the Group has expanded in other countries and other insurance verticals such as household and travel insurance, in loans, price comparison platforms, and has developed innovative products.

Admiral’s philosophy is that ‘people who like what they do, do it better’ and Admiral is proud to offer an open culture where achievement is rewarded and recognised and where coming to work is exciting every day.

Location

We are open to discussion around remote working possibilities (UK only). Our whole business is working in a hybrid mode (2 days at the office per week) but we do offer flexibility depending on your location. Please do not hesitate in querying this with the Recruitment Officer if needed.

Salary, Benefits and Work-Life Balance

We do not have a set salary for this position, as it will be dependent on the successful candidate’s experience and the level of role you wish to be considered for.

We are happy to see CVs from all candidates who meet the requirements across our various opportunities and will be happy to discuss the remuneration package with you.

As the only FTSE 100 Company headquartered in Wales and ranked one of the best big companies to work for by the Sunday Times, Admiral is an exciting place to take your career. We are proud to be a diverse business where we put our people and customers first. We have great benefits to ensure colleagues have a great work-life balance; it's one of the reasons we are proudly the only company to have been named one of the Best Companies to Work For every year since 2001. We want you to have an element of freedom to define a working lifestyle that supports this, so we accommodate flexible hours wherever possible.

You can also view some of our other key benefits here; https://admiraljobs.co.uk/employee-benefits/.

If you think this role is for you and would like to be considered for this opportunity, please click “apply now” to complete an online application form.

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  1. Full time
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Cardiff

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