About the Role / About the Job
This position is responsible for performing process compliance audits to assess the accuracy, compliance, and consistency of all operational activities against the corresponding procedures. These operational activities include onboarding clients, setting up new and retained business on the system, processing claims, providing customer service via calls and emails, and managing endorsement activities within policies.
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Responsibilities
- Participates in complex audits, third party audits, ad-hoc projects, and assignments as defined by the Quality Audit Team Manager.
- Performs root cause analysis on audit findings to understand the reasons behind the findings.
- Agrees on suitable action plans to eliminate root causes and prevent recurrence of findings.
- Monitors performance trends and agrees on suitable action plans to address these trends.
- Identifies improvements to both audit and operational processes and procedures.
- Collates and reports audit findings to Senior Management accurately and on time.
- Assists in the development of audits and audit processes and procedures.
- Acts as a subject matter expert who supports fellow Auditors.
Experience & Competencies
- 2 years’ experience in the Middle East Insurance Market.
- 2 years’ experience in medical claims and/or an auditing role (for claims audit role).
- Excellent English skills, verbal and written; Arabic may be required for specific roles.
- Medical background preferred.
- High energy, results-oriented individual able to coordinate and prioritize multiple tasks to meet deadlines.
- Ability to think analytically, interpret information/observations, and make effective decisions.
- Ability to seek guidance when needed on complex issues.
- Professional verbal and written communication skills.
- Ability to listen attentively, build rapport, and ask structured open/closed questions.
- Ability to diffuse and resolve instances of conflict.
- Ability to produce clear and factual reports.
- Ability to present information and ideas in a confident, creative, and interactive manner.
- Ability to explain audit findings and trends and provide constructive feedback; work patiently and effectively with staff of different experience levels, learning styles, and cultural diversity.
- Ability to provide constructive coaching to fellow Auditors to share knowledge and skills.
- Ability to work effectively independently and as part of a team.
- Mindful of the business needs and the personal needs of the person being audited.
Additional Information
We are currently accepting applications from UAE Nationals only.
