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ClaimSorted

AI-driven TPA delivering data-driven claims insights

QA & Authorisation Handler

Claims AdjudicationConfirmed live in the last 24 hours
Full-time£25k - £35k /yrRemote

About the Job

Requirements

  • At least 2 years of experience completing claim authorisations within an insurance claims team, including reviewing and making decisions on claim settlements.
  • At least 3 years of experience working across two or more product lines in a claims role, such as Pet, Travel, Property, Auto, Gadget, or similar insurance products.
  • Strong technical claims knowledge and the confidence to independently review, challenge, and make evidence-based decisions.
  • Strong attention to detail when reviewing policy coverage, supporting evidence, and settlement calculations.
  • Analytical skills and experience identifying financial leakage, trends, recurring errors, and process or control gaps.
  • Ability to provide clear, constructive feedback and explain the rationale behind decisions.
  • Ability to organise and prioritise a varied workload based on risk, value, and urgency.
  • Adaptability and ability to learn new products, policy wordings, and processes.

Responsibilities

  • Review claim settlements at the authorisation stage across all products, acting as the final line of defence before payment is approved.
  • Independently review policy coverage, supporting evidence, and settlement calculations, and decide whether to authorise, pass back, or escalate claims.
  • Complete Quality Assurance reviews across all products to ensure claims are handled accurately, fairly, and in line with policy, partner, and internal requirements.
  • Identify and prevent financial leakage, incorrect settlements, and other customer or financial risks.
  • Provide clear, constructive, evidence-based feedback to Claims Handlers and challenge decisions where required.
  • Use QA, authorisation, and leakage data across products to identify trends, recurring errors, training needs, and process or control gaps.
  • Support improvements to claims processes, guidance, and controls based on findings and root-cause analysis.
  • Maintain accurate records of decisions and findings while managing and prioritising QA and authorisation workloads.
  • Build and maintain the technical knowledge needed to work across all product lines, partners, and processes.
  • Collaborate across Claims Operations and the wider Technical Claims Support Team.
  • Support other technical claims activities as required.

About the Company

ClaimSorted

AI-driven TPA delivering data-driven claims insights

ClaimSorted is a third-party claims administrator that uses AI to improve insurance claims processing. It handles FNOL, payouts, data analysis, and provides interactive dashboards, with options for in-house support or outsourcing. It differentiates itself through AI-driven insights, a flexible outsourcing model, a broad product suite (FNOL, payouts, analytics, dashboards, fraud tools), and 24/7 support, backed by proprietary data and extensive claims experience. Its goal is to reduce claims handling costs and time while improving underwriting decisions through actionable data and automation.

Company size
Not listed
Company stage
Seed
Total funding
$16.4M
Headquarters
London, United Kingdom
Founded
2024

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