Responsibilities:
- Manage Individual Protection claims from initial notification through to final settlement on a daily basis within an agreed level of authority and within service standards:
- Assessment of claims in line with the out client life claims philosophy and policy terms and conditions.
- Communicate with members, clients, doctors, service providers, intermediaries, reinsurers and FOS as necessary to:
- Obtain further information in relation to claims or...
Responsibilities:
- Manage Individual Protection claims from initial notification through to final settlement on a daily basis within an agreed level of authority and within service standards:
- Assessment of claims in line with the out client life claims philosophy and policy terms and conditions.
- Communicate with members, clients, doctors, service providers, intermediaries, reinsurers and FOS as necessary to:
- Obtain further information in relation to claims or potential claim enquiries
- Explain claims requirements and decisions
- Resolve appeals and complaints
- Build and maintain relationships with intermediaries and service providers
- Contribute ideas for the continuous improvement of the claims business process within our clients Life to ensure that our clients Life remains innovative and forward thinking - constantly challenge the status quo.
- Work closely with other areas within out client's Life (for example Group Claim Assessors, Underwriting, Actuarial, Client Services) to develop a thorough understanding of the business and contribute to "best practice" overall.
- Represent our clients Life at Industry meetings, including Focus, CAMPUS and the Health Claims Forum
Experience:
- Minimum GCSE's or equivalent
- Experience of medical and financial claims assessment across a range of product lines
- Good computer literacy, sound numerical and verbal literacy skills
- Well developed and effective communicator both verbally and in writing. Confident, resilient, organised, approachable and dependable
- Desire to deliver excellent customer service. A demonstrable 'can-do' attitude with the ability to pro-actively manage workload.
- Desirable:
- Degree or equivalent CII qualification
- Previous use of an image and workflow system
