Claims QA & Audit - Non Health(Electronics) (COE00876)

Location

Bangalore | India

Job description

Job Description

Job Purpose-

• Insurance & Regulatory Awareness: Protects assets for a company or organisation, ensures compliance with internal procedures, and maintains knowledge of industry regulators.
• Internal Audit Management: Planning (develops & manages) & execution of the claims internal QA & audit function by liaisoning with concerned stakeholders.
• To develop audit guidelines & parameters based on standard operating procedures, organization & regulatory guidelines, internal checks & controls, BI & governance, risk controls & other key objectives & apply a thorough understanding of governance, risk, and control appropriate to the organization to ensure standardisation, consistency, efficiency, productivity & attain high industry benchmarks.
• Business Acumen: Maintains expertise in the business environment, industry practices, and specific organizational factors of quality assurance & claims audit end-to-end, i.e., Closed File Review (CFR) and open File Review (OFR).
• Improvement & Innovation: Embraces change and drives improvement and innovation, evaluates internal control and makes recommendations on how to improve, handhold, support, follow-up to implement improvements & test post that for action adherence.
• Proactive: Makes recommendations proactively for the best ways for a company to avoid risk fraud & adhere to the processes, & controls keeping in mind organizational expectations, business models, claims philosophy & key control measurements.

Key Responsibilities.

Strategic / Functional

People / team work

Job Requirement

Excellentdocumentation&recordkeepingskills
Business acumen,organizational&communicationskills
Changemanagement&planningskills
Analyticalthinkerwithstrongconceptualandproblem-solving skills Strong creative/innovative skills(Theabilitytothinkoutofthebox)

• Post-graduate/GraduateinanyfacultyfromarecognizedUniversity/Institution.
• GoodcommandofwrittenandspokenEnglish&Hindi/Otherregionallanguages.
• Must be able to manage oneself, lead by example, be proactive & work with little supervision.
• TheCertifiedInternalAuditorcertification&similarcredentialsarepreferred.
• 3-5 years of experience in property and casualty insurance claims in the internal audit environment, both closed file review & open file review.
• Excellent audit report writing skills backed with metrics, tolerances, deviations,&samples that are time-tested.
• Thethoroughnessoftheinsuranceregulatoryrequirements.
• Proficient in advanced Excel, Word, PowerPoint & report drafting using measurement metrics.
• 3 - 5 years of work experience in the audit industry, in which 2-3 years of experience in the insurance industry managing & driving property and casualty claims internal audit environments, both closed file review & open file review.
• Preferred working experience within the industry in the property and casualty claims department.
• Having a thorough understanding of claims step-by-step processes & property and casualty insurance industry business model.

Job tags

Salary