We are looking for a Claims Process & Quality Assurance Analyst to enhance and ensure the quality of our claims processes across all countries.
In this multifaceted role, you will be involved in analyzing claims workflows, gathering requirements, refining business processes, and implementing quality assurance measures to drive operational excellence.
Responsibilities
Analyze and document existing claims processes to identify areas for improvement and optimization.
Collaborate with stakeholders to gather and define business requirements and ensure that deliverables align with stakeholder expectations and regulatory standards.
Develop and implement process mapping and documentation.
Coordinate requirement-gathering workshops to understand business needs related to claims processes.
Document detailed requirement analyses and business cases for new projects, focusing on continuous improvement in claims systems and processes.
Evaluate and refine existing claims processes to enhance operational efficiency.
Prepare test scripts and cases to support the implementation of new systems and processes.
Collaborate with business partners to ensure compliance with claims best practices, claims guidelines, and country-specific regulations.
Continuously improve the technical quality and operational performance of the claims product by measuring compliance through file reviews.
Support the delivery and rollout of claims best practices and the QA process across all countries.
Lead training sessions to enhance understanding and implementation of Best Practices and QA processes within claims teams.
Facilitate calibration of the QA process through re-reviews, training, and feedback to ensure consistency in claims handling.
Partner with internal and external claims management at various levels to analyze findings, communicate results, and recommend solutions.
Assist in the development of meaningful action plans to address identified issues and enhance claims processes.
Requirements
Possess a Bachelor’s degree with 5+ years of experience in the insurance industry. Experience in claims processing, quality assurance, or claims business analysis preferred.
Proven ability to work effectively within cross-functional teams and collaborate with stakeholders across different geographical locations.
Demonstrated ability to meet tight deadlines while delivering high-quality work.
Strong organizational skills with excellent time management capabilities, able to prioritize tasks effectively in a fast-paced environment.
Independent worker and analytical thinker, skilled in conducting investigations and data analysis.
Meticulous attention to detail with robust analytical and problem-solving capabilities.
Think outside of the box to support the business in delivering its strategic objectives rather than just responding to a pre-defined request.
Strong work ethic coupled with a positive, can-do attitude.
Advanced proficiency in MS Excel and strong presentation skills, capable of delivering compelling presentations at various organizational levels (PowerPoint experience is a must).
Knowledge of process mapping and change management methodologies.
Experience in effectively communicating with internal and external executive stakeholders.
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