Claims Assessor

1 month ago

Remote, United Kingdom Spinwell Full time

Role: Claims Assessor X 2 REF 2888
Contract Length: 6 months
Location: Remote
IR35: Inside
Pay Rate to Intermediary: £300-£380 per day
Security Clearance: Basic DBS

Spinwell is recruiting for a Claims Assessor for an excellent opportunity within the public sector.

**RESPONSIBILITIES OF THE CLAIMS ASSESSOR**
- To pro-actively assess and manage Disability claims that may include Waiver of Premium, Income Protection, Critical Illness and Life
- Time Care benefit (and other product benefits that are specific to a client account).
- To deliver an accurate, efficient and quality service in line with the CLPS service level agreements and receive excellent feedback following internal and external claim audits.
- To interpret policy terms and conditions, medical evidence and financial accounts in order to reach a decision on the validity of a claim.
- Provide thorough and robust justifications for decisions and refer cases to third parties including, CMO, reassurers and client company contacts in an accurate and clear manner.
- To communicate well both verbally and in writing to give clear instruction, adhere to TCF, manage the claimant’s expectations and portray client’s high standards of claim assessment.
- To support our pro-active approach to claim management by use of the telephone wherever appropriate to establish the circumstances of a claim, clarify information, triage and manage the expectations of the claimant.
- Share knowledge and experience in the delivery of training and guidance to others.
- To be fully competent and experienced in handling complaints and appeals and/or analysis (if applicable to the client

**SKILLS/EXPERIENCE OF THE CLAIMS ASSESSOR**
- 5 GCSE’s including Maths and English.
- 3-5 years experience as a Claims Assessor.
- Experience with customer contact, desired but not necessary.
- Completion and competence in relevant training modules.
- Willingness to study for a Disability Claims Diploma, or similar, if deemed necessary.
- Ongoing commitment to self-development i.e. research of medical conditions.
- Will be expected to attend industry events and provide comprehensive and accurate feedback to the group following the event.
- Experience of Complaint and Appeal handling may be essential.

**KNOWLEDGE**:

- Good knowledge of products, services and systems.
- Expert knowledge of procedures and technical standards.
- Excellent knowledge of relevant legislation, FCA principles and, in particular, Treating Customers Fairly.
- A good market, risk and business awareness.
- Has a strong foundation medical knowledge.
- Has good knowledge of relevant client philosophies.

**SKILLS AND COMPETENCIES**
- Passionate about delivery of customer service and excellent claims management.
- Treat customers fairly.
- Demonstrates essential interpersonal skills i.e. listening to others, observing and questioning where appropriate.
- Ability to work in a team/team player, liaising with other Claim Assessors, Underwriters and Claim Administrators within the team and across client sites to gain advice to deliver an excellent claims management service.
- Cope with varying workloads and pressures.
- Excellent verbal and written communication skills with the ability to write non-standard letters of a complex nature.
- Excellent telephone skills which should include questioning skills, the ability to triage claims, identify ‘red flags’ discuss clearly and professionally the circumstances of a claim and manage the expectations of the claimant.
- Excellent judgement and decision making skills.
- Has a thorough and methodical approach, paying attention to detail in all aspects of claim assessment.
- Has excellent numeracy and literacy skills.

**Job Types**: Full-time, Temporary contract

  • Disability Assessor

    1 week ago

    Remote, United Kingdom Rise Workforce Solutions Full time

    **Rise Workforce Solutions** are supporting one of our key clients with a recruitment drive for **Nurse Assessors** in **Scotland **and the **North East of England**. **Starting salary is £38,500 per annum** **Benefits include**: - Reward and recognition programmes with bonus scheme - Career progression and support with Learning and Development...

  • Disability Assessor

    1 month ago

    Remote, United Kingdom REACTIVERECRUITMENT.COM Full time

    **Disability Assessor** **Work from Home available** **Starting Salary - £35,000 Full time (Part time differ)** Alongside the above - a monthly 10% quality performance bonus We are currently recruiting healthcare professionals, across the UK who are seeking a new/modern direction to working in traditional healthcare roles. These positions are suitable...

  • Disability Assessor

    1 month ago

    Remote, United Kingdom REACTIVERECRUITMENT.COM Full time

    **Disability Assessor (Part Time)** **Work from Home available - Monday to Friday - No Weekends** **3 - day working week 22.5 hours - starting salary £21,000.00** **4 - day working week 30.0 hours - starting salary £28,000.00** Alongside the above - a monthly 10% quality performance bonus We are currently recruiting healthcare professionals, across...

  • (Jh-140) Disability Assessor

    1 month ago

    Remote, United Kingdom Black Fox Solutions Full time

    **Black Fox Solutions **are representing a leading multi-sector business services provider in their search for **Disability Assessors.** There are full-time and part-time positions available. Full training will be provided and hours of work will be during the day from Monday to Friday. Starting salary is £35,000 with additional benefits including paid...

  • Disability Assessor

    1 month ago

    Remote, United Kingdom REACTIVERECRUITMENT.COM Full time

    **Disability Assessor** **Work from Home available** Starting Salary - £35,000 Alongside the above - a monthly 10% quality performance bonus We are currently recruiting healthcare professionals, across the UK who are seeking a new/modern direction to working in traditional healthcare roles. These positions are suitable for **Nurses (RGN, RMN, or RNLD),...

  • Paramedic Assessor

    1 month ago

    Remote, United Kingdom Black Fox Solutions® Full time

    **Disability Assessor - No evenings, weekends, or nights!** **Remote work and hybrid working available.** **£35,000 - £41,800 + Excellent benefits** **Full-time and Part-time** We are currently recruiting healthcare professionals, across the UK who are seeking a new/modern direction to working in traditional healthcare roles. These positions are...

  • Disability Assessor

    1 month ago

    Remote, United Kingdom Black Fox Solutions® Full time

    **Job Summary**: - Disability Assessor - No evenings, weekends, or nights! - Remote work and hybrid working are available. - £35,000 - £41,800 + Excellent benefits. - Full-time and Part-time. We are currently recruiting healthcare professionals, across the UK who are seeking a new/modern direction to working in traditional healthcare roles. These...

  • Disability Assessor

    5 days ago

    Remote, United Kingdom Black Fox Solutions® Full time

    **Disability Assessor - Nurse, Physio, OT, Paramedic** **Work from Home and hybrid working available** **Up to £41,800 + amazing benefits** **No evenings, weekends, or bank holidays!** We are currently hiring permanent Nurses, Doctors, Paramedics, Speech and Language therapists, Pharmacists, Clinical Psychologists, and Physio/Occupational Therapists for...

  • Pip Assessor

    1 month ago

    Remote, United Kingdom Black Fox Solutions® Full time

    PIP Assessors Wanted Do you want to work for one of the UK’s leading healthcare providers? If yes, This role will offer a super work life balance along with a flexible working pattern. If you are looking for a change within the Healthcare industry, look below at the role and benefits! This engaging role offers **full and part-time **positions and...

  • Paramedic(Af Rr08)

    1 month ago

    Remote, United Kingdom REACTIVERECRUITMENT.COM Full time

    Disability Assessor Help your community - Work from Home, No late evenings or Weekends! Starting Salary - £35,000 Full time Alongside the above - a monthly 10% quality performance bonus We are currently recruiting healthcare professionals, across the UK who are seeking a new/modern direction to working in traditional healthcare roles. These positions...

  • Disability Assessor

    1 month ago

    Remote, United Kingdom Black Fox Solutions® Full time

    Do you want to work for one of the UK’s leading healthcare providers? This role will offer a super work life balance along with a flexible working pattern. If you are looking for a change within the Healthcare industry, look below at the role and benefits! **What your role will entail**: - Undertake clinical assessments for claimants who are making a...

  • Pip Assessor

    4 weeks ago

    Remote, United Kingdom Black Fox Solutions® Full time

    I am excited to be recruiting for one of the UK’s leading healthcare providers. This role will offer a superb work-life balance along with a flexible working pattern. If you are looking for a change within the Healthcare industry, look below at the role and benefits! **What your role will entail**: - Undertake clinical assessments for customers who are...

  • Pip Assessor

    1 month ago

    Remote, United Kingdom Black Fox Solutions® Full time

    I am excited to be recruiting for one of the UK’s leading healthcare providers. This role will offer a superb work-life balance along with a flexible working pattern. If you are looking for a change within the Healthcare industry, look below at the role and benefits! **What your role will entail**: - Undertake clinical assessments for customers who are...

  • Vocational Rehabilitation Consultant

    5 days ago

    Remote, United Kingdom Unum Full time

    Job Posting End Date: May 17Who are we?We are Unum – one of the UK’s leading employee benefits providers.We’ve been around for 50 years, currently protecting over 1.7 million people, providing security and peace of mind to individuals and their families.With a Fortune 500, US parent company, we’re part of highly successful global...