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Claims Handler
1 month ago
Overall objective: The Claims Handler role is responsible for undertaking the case management of insurance claims made by clients. The role requires the post holder to provide excellent customer service in line with FCA and Company guidelines.
Duties and responsibilities:Responsibility for the administration of all classes of commercial and personal lines claims.Dealing with claims including but not limited to household, domestic, motor, third party recoveries, subsidence, public and employer liability, personal injury and a wide range of commercial insurances.Duties may include but are not limited to: taking first notification from the client, issuing claims forms, validating the claim against the policy coverage, liaising with insurers, loss adjustors and uninsured loss recovery companies, providing customers with advice on mitigating their loss and how their policy may react, ensuring premiums have been paid, informing customers on how their policy premiums may be affected by their claim and passing the full settlement to the client.Identifying suspicious, complex or high value claims and raising these with management.Create new claims files upon notification of a new claim and record using IT software.Ensure all claims follow the policy conditions and consult with senior management or legal representation if necessary.Processing claims quickly and correctly, working on behalf of the client/customer and liaising with Insurers as appropriate.Ensure all business activity fully complies with FCA regulation and company procedures as detailed in the Conduct Polices and Guides to Best Practice.Handle any complaints in accordance with regulation, the Company’s Conduct Policy and Guide to Best PracticeDemonstrate excellent organisational skills, accuracy and attention to detail. Have the ability to analyse information and manipulate data in order to create meaningful reports for analysis. Collating and providing timely management information to the DirectorsDemonstrating exceptional customer service skills at all times.Able to handle all queries in a professional manner.
Key performance indicators:Ensure all Key Performance Indicators are achieved and are attained compliantly with FCA regulation.
Compliance:Be aware of the contents of the Company’s Guides to Best Practice and ensure a full understanding of the following subjects, as a direct relation to the role. Ensure full compliance to the procedures contained within the GuidesCommercial businessConsumer business (if applicable)Consumer CreditComplaintsContract CertaintyErrors & OmissionsTraining and CompetenceConflicts of InterestTreating customers fairlyWhistle BlowingFinancial CrimeData Security and General Data Protection RegulatorRecord Keeping
Ensure compliance with the Individual Conduct rules and Conduct policies.Ensure all other company practices and procedures are followed and adhered to.
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