We are looking for a confident, analytical and detail-focused QA & Authorisation Handler to join our Technical Claims Support Team.
You will provide a key technical control across our claims operation, completing Quality Assurance reviews and reviewing claim settlements at the authorisation stage.
As the final line of defence before a claim settlement is approved, you will be responsible for independently reviewing the claim, evidence, policy coverage and settlement calculation before making the decision to authorise, pass back or escalate.
This requires confidence and strong technical judgement. You must be comfortable making decisions, challenging claim assessments where something does not look right and clearly explaining the reasoning behind your decision.
The role goes beyond identifying individual errors. You will use findings from QA and authorisations to identify potential financial leakage, recurring handling issues, process and control gaps and emerging trends across the claims operation.
You will be comfortable using data to understand where issues are occurring, identify root causes and turn findings into practical improvements to processes, controls, guidance and training.
As ClaimSorted works across a range of insurance products and partners, you will need to be adaptable and confident moving between different products, policy wordings, processes and priorities while maintaining consistently high standards.
As part of the wider Technical Claims Support Team, you will also support other technical claims activities where required.