CRBFJP00000317 - Individual Claims Assessor

4 weeks ago


London, Greater London, United Kingdom Undisclosed Company Full time

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

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