Claims Audit Operations Analyst

Pro Insurance currently has a new opportunity for an Audit Operations Analyst (fka: Junior Auditor) to work in our Audit and Advisory team.

This will suit somebody with minimum two years’ experience working in a claim audit support, claim service/operations, or technical accounting role.

Job Purpose

You will be responsible for assisting in the preparation of pre-audit questionnaires and reports, as well as undertaking file selections and file testing. You will review completed pre-audit questionnaires and assess quality of data.

Insurance claims knowledge is central for reviewing contract terms and bordereaux to identify the files to review and to undertake the claim reviews. The claim reviews are central to evidencing controls within the audit target.

Skills and Responsibilities

Assisting Auditors in Audit specific work, including but not limited to:

• Prepare Pre-Audit Questionnaires (PAQs) to satisfy audit information requests.
• Maintain schedules/diaries to monitor responses, issues, and reminders.
• Assist in the review of PAQ responses and associated documentation, where appropriate draft follow-up questions for the interview process.
• Preparing the claim selections for testing and undertake claim testing.
• Compile initial summary assessment of audit findings for client and liaise with auditors, while assisting in in final report writing.
• Communicate effectively (both verbally and in writing) with both internal and external stakeholders.
• Manage time, meet deadlines, and prioritize daily, weekly, and monthly activities.
• Ability to work independently and within a team environment.
• Meticulous, precise, thorough, and good at record keeping.
• Analytical, able to review reports, manipulate pivot tables and Excel formulas. Ability to present and prepare data along with observations.Ability to identify issues and assess their importance.
• Work closely with Pro auditors and department leadership.

Written and Verbal Competencies ­­

It is essential to have a good written and verbal communication, accuracy, attention to detail and organisational skills to develop a career in audit. We are looking for someone with the following attributes:

• Excellent and demonstrable written and verbal communication skills.
• Results orientated - meeting goals, producing results.
• Strong influencing, persuasion and negotiation skills to achieve desired outcomes; experienced in resistance or conflict management.
• Strong computer skills – good working knowledge of MS Office, intermediate Excel, Word and PowerPoint skills, knowledge of Access advantageous.