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Quality Auditor Niche and DER

Davies

Office

Preston

Full Time

Quality Auditor Niche and DER

Department: Claims Management

Employment Type: Permanent - Full Time

Location: Preston


Description

New Opportunity Great Team Environment
Purpose of the Role:
To ensure the accuracy, compliance, and efficiency of claims processing within a claims operation environment by conducting audits, identifying trends, and driving continuous process improvement initiatives.


Your New Role

Key Responsibilities:
Conduct regular audits of claims files to assess accuracy, completeness, and adherence to internal policies and regulatory standards.
  • Identify errors, inconsistencies, or potential fraud, and escalate findings appropriately.
  • Collaborate with claims handlers and team leaders to provide feedback and coaching based on audit results.
  • Analyse audit data to identify systemic issues and recommend process enhancements.
  • Develop and maintain audit tools, scorecards, and reporting dashboards.
  • Support the implementation of corrective actions and monitor their effectiveness.
  • Participate in cross-functional projects aimed at improving claims workflows and customer outcomes.
  • Stay current with industry regulations, compliance requirements, and best practices.
Process Improvement Focus:

  • Lead root cause analysis on recurring audit findings and inefficiencies.
  • Partner with operational leaders to redesign workflows and eliminate waste.
  • Contribute to the development of training materials and SOPs based on audit insights.
  • Track and report on KPIs related to quality and process improvement.

What You'll Bring to the Role

  • Experience in claims auditing within a TPA or insurance environment.
  • Strong understanding of claims processes, regulatory compliance, and quality assurance principles.
  • Analytical mindset with the ability to interpret data and identify trends.
  • Excellent communication and interpersonal skills for delivering feedback and influencing change.
  • Proficiency in audit software, claims management systems, and Excel.
Desirable Qualifications:
Familiarity with FCA regulations and TCF (Treating Customers Fairly) principles.Not sure you meet all qualifications? Let us decide! Research shows that women and members of other under-represented groups tend to not apply to jobs when they think they may not meet every qualification, when in fact, they often do! We are committed to creating a diverse and inclusive environment and strongly encourage you to apply.


Benefits

Davies are committed to being a diverse and inclusive workplace. We welcome candidates of all genders, gender identity and expression, neurodiversity, sexual orientation, disability, physical appearance, body size, race, age, nationality, and belief (or lack thereof).
  • Join us and enjoy our ever-evolving benefits, including but not limited to:
  • Reward platform – discounts for over 800 retailers
  • 25 days holiday (rising with service)
  • Well-being centre
  • Recognition programme
  • Paid fertility appointments
  • Fostering friendly employer
  • Pension - matched contribution at 5%
  • Life Assurance (4 x basic salary)
  • Development, training, and professional qualification

Quality Auditor Niche and DER

Office

Preston

Full Time

August 5, 2025

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Davies

Davies_Group