Claims Examiner Specialist

2 weeks ago


Harrow on the Hill, Greater London, United Kingdom Vitality Corporate Services Limited Full time
About The Role

Vitality Corporate Services Limited is seeking a highly skilled Claims Assessor Specialist to join our team. As a Claims Assessor Specialist, you will play a critical role in assessing Life Cover, Terminal Illness, and Critical Illness Cover claims in accordance with current UK industry best practices.

Key Responsibilities:
  • Assess the validity of claims submitted, ensuring that assessments are conducted in accordance with current UK industry-leading claims practices.
  • Obtain medical and other evidence to support claims assessments.
  • Draft and issue claims decision letters and other claims-related correspondence.
  • Identify potential fraud, non-disclosure, misrepresentation, and pre-existing conditions.
  • Collaborate with strategic underwriters, management, reinsurers, and other stakeholders to ensure the swift and correct outcome of claims.
  • Mentor and coach junior team members, including holding case study sessions and delivering training on specific topics.
  • Assist with complaint resolution.
Essential Skills:
  • Medical qualification.
  • Broad experience in assessing and managing Life Cover and tiered Critical Illness claims.
  • Detailed knowledge of the UK insurance market and regulatory environment.
  • Experience in dealing directly and effectively with the Financial Ombudsman Service (FOS) on claims-related matters.
  • Good experience in working with reinsurers.
  • Advanced level of communication skills (verbal and written).
  • Intermediate skills in Microsoft Office applications, including Word, Excel, and PowerPoint.
  • CII claims qualification.
About Us

Vitality Corporate Services Limited is an award-winning, dynamic, and vibrant financial services provider. We have a groundbreaking vision for the future, where individuals are enabled to succeed and are rewarded and recognized for their contribution to our business. We are the UK insurer and investment provider that rewards people for positive lifestyle choices, a key element of our Shared-value model. With 1.4 million UK members and more than 25 million globally, we are committed to making the world a healthier and happier place. This applies as much to our people as it does to our members.



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