This role is responsible for providing quality assurance in relation to claim assessment in line with the TAL claims quality framework and risk management principles.
A key focus of this role is to promote a culture of risk management and continuous improvement by providing risk-based detective controls and insights relating to claim assessment.
Main Activities/Responsibilities
- Evaluate the effectiveness of quality assurance activities and practices to address key risks and critical processes.
- Evaluate the effectiveness of claims systems, controls and practices to ensure alignment to the claims philosophy, policies and risk principles.
- Manage processes and record keeping associated with the issuing of delegations of authority.
- Maintaining current knowledge of life insurance guidelines, processes and policy changes. Ensure that quality assurance practices reflect industry best practice and TAL processes and policies, providing clear communication of each of these in a simple and accurate manner to team members
- Liaise with the Claims Governance team and TAL Claims Team Managers, to ensure quality controls up to date and consistent with current policies.