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Senior Claims Assessor
4 months ago
Senior Claims Assessor - Remote
Who are Diligenta?
Our vision is to be acknowledged as Best in-class Platform based Life and Pensions Administration Service provider. Customer service is at the heart of everything we do, and our aim is to transform our clients' operations. A business that has been described as 'home' by existing employees, we drive a culture that is founded on positive change and development.
The Opportunity:
Due to internal progression, Diligenta now have an exciting opportunity for an experienced Claims Assessor to take on. In this Senior Claims Assessor role, you will be expected to effectively assess claims in areas such as Income Protection, Critical Illness, Permanent Total Disability and Death Claims. You will also be expected to make fair, correct, and efficient decisions whilst hitting company targets.
You'll be:
- Expected to make admittance and medical decisions and make recommendations within admittance authority for declines/terminations/misrepresentation.
- Proactively managing a nominated portfolio of claims.
- Liaising with claimant(s) throughout the claims process and thoroughly investigate all claims, requesting and using appropriate medical and other evidence to assess the claim proactively within the agreed service standards.
- Making recommendations to develop innovatively the Company's claim philosophy and protocols.
- Providing authoritative technical support to the Risk Claims administration teams.
You should apply if you:
- Have a minimum of 3 years proven experience in at least one of Income Protection, Waiver of Premium, Total and Permanent Disability, Critical Illness, Death Claims assessment.
- Can display an excellent telephone manner, adept at handling customers with care, including those experiencing anxiety, distress, or frustration.
- Have strong Microsoft and general PC skills.
- Can show a proven ability to make admittance, declinature and medical decisions and make recommendations within admittance authority.
- Have a proven ability to coach and mentor less experienced claims assessors to enable them to develop their technical knowledge.
The Perks
- 25 days holidays + 8 bank holidays.
- Discretionary annual bonus.
- Company pension scheme membership.
- Gain professional accreditation on completion at no extra cost through our bespoke 24/7 professionally accredited online learning and development tools.
- Access to our Confidential Helpline is available to be used by you and your family.
- Develop your career through a wider global organisation of the TCS family.
