Fraud and Quality Assurance Specialist
vor 2 Wochen
job description:
As an international specialist insurer **HISCOX** (since 1901)** is far removed from the world of mass market insurance products. Instead we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things.
Our awesome European Claims-Team is currently seeking a
**Fraud and Quality Assurance Specialist (gn) - based in Munich**
Working as part of the EU Claims Team, the Fraud and Quality Assurance Specialist is responsible for ensuring that our claims handling services meet the quality standards of our defined procedures while establishing robust fraud controls. The jobholder (gn) helps shape the overall governance of our operational processes, policies and controls; and identifying ways to improve the overall quality of claims handling while reducing leakage. This might include recommending new processes, conducting research into best practices or even helping to develop training programs for claims underwriters. This role reports directly to the European Head of Claims Standards and Performance.
**Responsibilities**:
- Set-up and improve best-in-class quality control claims procedures aiming to improve our service, reduce leakage and/or comply with changing insurance / legal standards.
- Conduct audits of guidelines and procedures to ensure compliance with the company claims standards
- Set-up fraud processes, controls and reporting and support local teams to improve our overall fraud capabilities. Train claims underwriters and Implement continuous improvement practices to reduce fraud leakage.
- Conduct peer reviews including feedback to claims underwriters and reporting
- Review customer complaints and suggest improvements when necessary
- Conduct research on new technology/way of handling claims that could improve effectiveness in handling claims and customer satisfaction
- Report any issues with processes to the claims underwriters, team leaders and/or Claims Manager for correction
person specification:
**Profile**:
- Extensive experience in claims handling either property damage and liability claims
- Experience in handling Fraud claims and potentially in setting up effective fraud controls
- Enthusiastic team player with good relationship and empathy skills
- Can demonstrate critical analysis and decision-making skills
- Can effectively promote a strong compliance culture and general awareness of regulatory risks.
- Excellent communication and influencing skills and an ability to multi-task in a fast-paced environment.
- Someone unafraid to provide quality advice and guidance to all areas of the business, constructively challenging and proposing pragmatic solutions to the issues encountered
- Good report writing skills and communication skills (in German and in English. Another European language is a plus)
- Creative, proactive, logical and innovative - you do not accept the status quo
- Demonstrate a commitment to quality, service and problem management; defining best practice
Your perspectives:
- Team spirit, open feedback culture, flat hierarchies and creative freedom;
- Internal and external trainings;
- Promoted work-life balance through **home office options and sabbatical**s;
- ** Attractive remuneration** consisting of fixed and variable components;
- Many social benefits, such as pension plans and travel allowances.
LI-MS1
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