Insurance Claims Administrator
7 days ago
**Job Title: Insurance Claim Administrator**
**Location**:Dudley / Claim Recovery Department
**Key Purpose**:
**To deliver an excellent client and Practice experience throughout the Insurance Claim Recovery process, assisting in overall reduction of debt and the retention of our client base. Deliver Key Care Indicators set by the Practice.**
**Key Objectives**:
1. To relentlessly strive to improve Debt Management by claim output and supporting the key objectives of delivering The BEST Client Experience and The BEST Practice.
2. To work within the Claim Recovery Team to achieve outstanding results, supporting the key strategic objective of providing The BEST place to work with The BEST Teams.
3. To enthuse and engage Vet, Nursing, Reception and Practice Support teams in Claim Recovery and to raise awareness of the direct link between great clinical care, great client experience and good financial management.
**Key Activities**:
Support and work within the team to control insurance company debt via The Claim Recovery Process as follows:
Prioritise claims: admit procedures, claims exceeding £250.00, owner claims, referral patient claims, PTS, and insurance companies with strict time limits
Calculate total claim and submit via Vetenvoy, VOX, Animal Friends Portal, Direct Line electronic link, or on a paper claim form
Enter detailed notes on the patient clinical screen and scan claim to client’s records, detail claim on a spreadsheet
Process payments received from insurance companies by cheque or BACS and allocate to clients account on PMS and claim spreadsheet
If a client shortfall or refund is due pass the file to the Accounts Department to raise an account letter
Contact insurance companies regarding outstanding claims
File numerically all completed claims/archive folders to branches as and when needed
Process pre-authorisations when requested by Vets and notify clients/branches of the outcome of the insurer's decision
Respond to queries from clients, insurance companies, and other team members daily
To support our culture of continuous improvement by understanding how the Claim Recovery Process is implemented and impacts across the practice and identifying realistic improvements to the process
Provide updates on client policies when requested by vets
Contact insurance companies daily to confirm cover is in place for admit procedures booked in for the following day
Check Practice Management System daily for messages for the Claim Recovery Department
Update and create new Claim Recovery protocols and procedures
Carry out vet / new staff induction training
Type agenda items and minute for meetings
Update daily target board monthly
Carry out any additional duties as requested by Line Manager
**Qualifications**:
Educated to GCSE or equivalent Grade C in Maths and English.
**Person Specification / Characteristics**:
Attention to detail and high level of accuracy
Able to work under pressure, able to take direction
Focused and efficient, hard-working
Has a flexible attitude to tasks and priorities
Good attendance and timekeeping. Punctual, flexible, reliable
Able to control personal emotions, resilient, able to cope, unflappable
Seeks advice/help where appropriate
Professional, conscientious, and confident
Caring, empathetic, compassionate, and sympathetic
Honest, trustworthy, polite, and approachable
Friendly, smiley happy disposition, approachable
Inspire confidence in clients
Uses initiative
Respectful of others
A positive, supportive team player
Encourage colleagues, manage own behaviour
Prepared to go the extra mile when necessary
Desire to engage with CPD (Continued Professional Development) offered to ensure continuous improvement of our Practice, a willingness to learn
Embrace Practice ethos
We have a zero-tolerance policy on any behaviours likely to negatively impact the team e.g. bullying, racism, gossiping, trouble-making, insighting victimisation. We rely on a positive, harmonious 'one team' family environment as core to our success. Any such activities will therefore be classed as gross misconduct.
**Competencies**:
Strong administrative skills
Strong numeracy skills
Effective communication skills with clients, colleagues and insurance companies
Strong listening skills with a good ability to understand client's needs
Able to communicate our key differences and value
Manage priorities and time
Ability to work at a strong pace with competing priorities
Office skills including scanning, photocopying, texting, computer literacy
Microsoft Office including Word, Excel and Outlook
Blacks Practice Management Software (training will be provided)
**Environment**:
Maintain Health & Safety & COSHH requirements at all times
Maintain a secure environment
WE ARE AN EQUAL OPPORTUNITIES EMPLOYER
**Job Types**: Full-time, Permanent
**Salary**: From £9.50 per hour
**Benefits**:
- Casual dress
- Company events
- Company pension
- Employee discount
- Private m
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