Health Claims Examiner
3 weeks ago
We are seeking a skilled Claims Assessor to join our operations function at Diligenta. As a Claims Assessor, you will play a key role in managing individual protection claims from initial notification through to final settlement on a daily basis within an agreed level of authority and within service standards.
Key Responsibilities- Examine and evaluate insurance claims for accuracy, completeness, and eligibility based on policy terms and conditions.
- Make informed decisions regarding the approval or denial of claims based on gathered evidence and policy guidelines.
- Investigate and verify the legitimacy of claims through document analysis, medical reports, and other relevant information.
- Liaise with medical professionals, legal advisors, and other third parties to obtain required documents and expert opinions.
- Maintain detailed and accurate records of all claim assessments, decisions, and communications.
- Ensure all claim files are up-to-date and comply with company policies and regulatory requirements.
- Offer exceptional customer service by addressing queries, concerns, and appeals from claimants promptly and professionally.
- Previous experience in claims assessment or a related field within the insurance industry.
- Experience in handling life insurance, health insurance, or pension claims is highly desirable.
- Strong analytical and critical thinking abilities to evaluate complex information and make sound decisions.
- Proficiency in analysing medical reports, financial documents, and other relevant data.
- High level of accuracy and thoroughness in reviewing claims and documentation.
- Ability to identify discrepancies and potential fraud.
- Excellent verbal and written communication skills for interacting with claimants, colleagues, and third parties.
- Ability to explain complex information clearly and concisely.
- Strong commitment to providing exceptional customer service.
- Empathy and patience in handling sensitive situations and distressed claimants.
Diligenta is a leading provider of life and pensions administration services. Our vision is to be acknowledged as the Best-in-class Platform-based Life and Pensions Administration Service provider. We strive to deliver exceptional customer service and transform our clients' operations.
We offer a range of benefits, including 33 days of annual leave, eligibility for an annual discretionary bonus scheme, and access to Perks at Work, a discounted shopping platform. We also offer a comprehensive set of Moments that Matter policies, including Carer's Leave, Foster Leave, and Retirement Leave.
-
Health Claims Examiner
2 weeks ago
Telford, Telford and Wrekin, United Kingdom Sanderson Recruitment Plc Full timeJob Title: Health Claims AssessorAt Sanderson Recruitment Plc, we are seeking a skilled Health Claims Assessor to join our team. As a Health Claims Assessor, you will be responsible for evaluating new claim notifications across various benefits, including Income Protection, Critical Illness, and Total Permanent Disability.Key Responsibilities:Examine and...
-
Health Claims Examiner
4 weeks ago
Telford, Telford and Wrekin, United Kingdom Sanderson Recruitment Plc Full timeJob Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will be responsible for assessing new claim notifications across a range of benefits, including Income Protection, Critical Illness, and Total Permanent Disability.Key Responsibilities:Examine and...
-
Health Claims Examiner
4 weeks ago
Telford, Telford and Wrekin, United Kingdom Sanderson Recruitment Plc Full timeJob Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will be responsible for assessing new claim notifications across a range of benefits, including Income Protection, Critical Illness, and Total Permanent Disability.Key Responsibilities:Examine and...
-
Health Claims Examiner
1 month ago
Telford, Telford and Wrekin, United Kingdom Sanderson Full timeJob Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will be responsible for assessing new claim notifications across a range of benefits, including Income Protection, Critical Illness, and Total Permanent Disability.Key Responsibilities:Examine and...
-
Health Claims Examiner
1 month ago
Telford, Telford and Wrekin, United Kingdom Sanderson Full timeJob Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will be responsible for assessing new claim notifications across a range of benefits, including Income Protection, Critical Illness, and Total Permanent Disability.Key Responsibilities:Examine and...
-
Health Claims Examiner
3 weeks ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeJob Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification through to final settlement.Key Responsibilities:Examine and evaluate insurance claims for accuracy,...
-
Health Claims Examiner
3 weeks ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeJob Title: Health Claims AssessorWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a Health Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification through to final settlement.Key Responsibilities:Examine and evaluate insurance claims for accuracy,...
-
Health Claims Examiner
7 days ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeJob SummaryWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a key member of our team, you will be responsible for assessing new claim notifications across various benefits, including Income Protection, Critical Illness, and Total Permanent Disability. Your primary objective will be to deliver comprehensive and...
-
Health Claims Examiner
7 days ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeJob SummaryDiligenta is seeking a skilled Health Claims Assessor to join our operations function. As a key member of our team, you will play a crucial role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility based...
-
Health Claims Examiner
2 weeks ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout the RoleDiligenta is seeking a skilled Health Claims Assessor to join our operations function. As a key member of our team, you will play a crucial role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility...
-
Health Claims Examiner
1 week ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeJob SummaryDiligenta is seeking a skilled Health Claims Assessor to join our operations function. As a key member of our team, you will be responsible for managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility based on...
-
Health Claims Examiner
2 months ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout DiligentaDiligenta is a leading provider of life and pensions administration services, committed to delivering exceptional customer experiences and transforming client operations.Job SummaryWe are seeking a skilled Claims Assessor to join our operations team, responsible for managing individual protection claims from initial notification to final...
-
Health Claims Examiner
2 months ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout DiligentaDiligenta is a leading provider of life and pensions administration services, committed to delivering exceptional customer experiences and transforming client operations.Job SummaryWe are seeking a skilled Claims Assessor to join our operations team, responsible for managing individual protection claims from initial notification to final...
-
Health Claims Examiner
2 weeks ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeJob SummaryWe are seeking a skilled Health Claims Assessor to join our operations team at Diligenta. As a key member of our team, you will be responsible for assessing new claim notifications across various benefits, including Income Protection, Critical Illness, and Total Permanent Disability. Your expertise will also be utilized to proactively review...
-
Health Claims Examiner
1 month ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification to final settlement, ensuring that all claims are processed within agreed service standards and regulatory requirements.Key...
-
Health Claims Examiner
2 months ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a key role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility based on policy...
-
Health Claims Examiner
1 month ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification to final settlement, ensuring timely and accurate decision-making within agreed service standards.Key ResponsibilitiesExamine and evaluate...
-
Health Claims Examiner
1 month ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a crucial role in managing individual protection claims from initial notification to final settlement, ensuring timely and accurate decision-making within agreed service standards.Key ResponsibilitiesExamine and evaluate...
-
Health Claims Examiner
2 months ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout the RoleWe are seeking a skilled Claims Assessor to join our operations team at Diligenta. As a Claims Assessor, you will play a key role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility based on policy...
-
Health Claims Examiner
1 month ago
Telford, Telford and Wrekin, United Kingdom Diligenta Full timeAbout the RoleWe are seeking a skilled Claims Assessor to join our operations function at Diligenta. As a key member of our team, you will play a crucial role in managing individual protection claims from initial notification through to final settlement.Key ResponsibilitiesExamine and evaluate insurance claims for accuracy, completeness, and eligibility...
