Insurance Claims Administrator

7 days ago


Dudley, United Kingdom Blacks Vets Full time

**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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