Claims Administrator

4 weeks ago


Bracknell, United Kingdom Mulberry Recruitment Full time

**Claims Administrator**

**Location: Bracknell**

**Salary: £22,000 - £24,000 + Benefits**

**Hours: Monday - Friday 9.00am - 5.00pm**

My client are one of the worlds longest established IPMI provider and they are looking for a Claims Assessor to join their team. You will work in conjunction with the Medical Team in reviewing claims that require pre-authorisation.

**Responsibilities**:
Handle all aspects of pre-authorisations, GOP requests from TPAs and process reimbursement claims up to a value of £5,000.

Respond to benefit and claims queries from staff, brokers, TPAs within agreed SLA.

Ensure that TPA’s are assessing claims in accordance with the terms and conditions of policies through regular audits.

Deal with net promoter responses within agreed timescale.

Work with complaint handlers who are investigating claim related complaints within appropriate time scales working to company procedures and regulatory requirements.

Assist with testing and implementation of new claims system.

Ensure that all statutory and company regulations are followed to protect clients, colleagues and the business interests of the company.

Undertake any ad hoc duties as and when required.

Provide an efficient, personable and knowledgeable service, communicating needs and decisions effectively to our TPA’s and external providers

Ensure pre-authorisations and any queries are dealt with promptly and accurately.

Contribute to a supportive and flexible working environment, taking responsibility for situations as and when required.

Attainment of targets as outlined on performance appraisal and during 121 sessions with manager.

**Person Specification**:
Experience in a health insurance/insurance company/claims department would be preferable

A good understanding of the international healthcare market would be desirable

Strong commercial acumen

Knowledge and experience using Excel spreadsheets

Good time management skills

Innovative problem solving skills

Good analytical skills

Excellent verbal and written communication skills

**Benefits**:
Pension with Royal London

Private medical insurance

Yearly health check

Discretionary bonus

Life assurance

Income protection

Employee assistance programme

22 days holiday plus bank holidays



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