Quality Assurance Specialist (Claims)
Core
Conduct structured quality reviews of Medicolegal Claims files and advisory support to ensure consistency, accuracy, and compliance with regulatory obligations.
Role type
Quality Assurance Specialist (Claims)
Builds
Claims Quality Assurance Framework and improved claims handling practices
Domain
Insurance / Medicolegal Claims / Legal
Deliverable
dashboards & analysis
Required skills
Claims management, Legal processes, Claims assessment, File management, Analytical thinking, Critical thinking, Quality assurance, Compliance
Preferred skills
Experience in Medical Defence Organisation, Quality auditing, Claims auditing
Technologies
Claims management systems
Responsibilities
Conduct structured quality reviews of claims files, Identify technical risks and gaps, Provide feedback to claims professionals, Analyse quality review outcomes, Prepare quality assurance reporting, Participate in calibration sessions
Seniority
Mid-Senior, hands-on IC