Quality Control Executive (Insurance)
Role:
- To oversee the quality of service provided in Operations and implement controls to improve service levels
Responsibilities:
- Oversee internal controls and claims reviews for all types of claims
- Assist in maintaining a Transactional NPS process and work towards the improvement of the overall NPS score across all operations areas
- Implement and monitor anti-fraud measures both internally and externally
- Support in the reporting on Operations functions for Corporate
- Partner with the Processes team to enhance procedures and automations.
- Track and oversee Providers performance to ensure they meet KPIs.
- Assist when needed the cost control department with payments of claims and parts ordering functions.
Requisites:
- Previous experience in processing insurance claims
- Familiarity with insurance policy coverage and regulations
- Strong attention to detail and accuracy in claims documentation
- The person selected for this role will need to present strong analytical skills
