Clinical Claims Examiner

13 hours ago


Bristol, Bristol, United Kingdom Irish Life Group Services Limited Full time

At Ireland-based Irish Life Group Services Limited, we are committed to delivering excellent customer experiences. As a Clinical Claims Assessor, you will play a vital role in ensuring the accuracy and validity of clinical claims associated with our protection products.

About the Role
  • You will be responsible for independently assessing and validating clinical claims within your authority levels, ensuring only valid claims are paid according to the financial liability.
  • Within established escalation controls and checking procedures, you will ensure accurate decisions are reached, and benefits are paid correctly.
  • Your attention to detail will enable you to accurately check eligibility of claimants and analyse all information received.
Key Responsibilities
  1. Set up claims to accurately reflect financial liabilities within your authority levels.
  2. Evaluate high benefit claims that exceed financial retention limits or personal authority levels, following company procedures.
  3. Analyse medical and non-medical information, requesting gaps from appropriate sources as needed.
  4. Demonstrate exceptional customer service skills to ensure strategic distribution partners and corporate clients remain satisfied with Canada Life services.
  5. Ensure all claim activity corresponds with Risk, Compliance, and Legal guidelines, maintaining thorough audit trails.
What We Offer

We believe in recognising and rewarding our people, offering a competitive salary and benefits package regularly reviewed. As a Canada Life UK colleague, you'll receive a generous pension, bonus scheme, income protection, private medical insurance, and life assurance. You'll have access to flexible working arrangements, training opportunities, and career development.



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