Claims Resolution Specialist

3 days ago

Leeds, Leeds, United Kingdom MORRICE MACFEATE SEARCH & CONSULTANCY LTD TA MM Search Full time
Job Title: Claims Resolution Specialist

Position Title: Claims Handler
Department: Claims
Location: Horsforth (Leeds)
Contract: Full Time
Direct Reporting: Claims Manager

We are seeking an experienced Claims Resolution Specialist to join our dynamic Horsforth team. The successful candidate will be responsible for managing and processing complex claims, ensuring our clients receive efficient and effective claims handling services. This role demands a thorough understanding of the insurance industry, exceptional analytical skills, and the ability to deliver outstanding customer service.

Key Responsibilities:
  1. Claims Management: Handle a diverse portfolio of insurance claims across various lines of business, including property, casualty, liability, and commercial insurance.
  2. Client Advocacy: Act as the primary point of contact for clients throughout the claims process, advocating on their behalf to ensure fair and timely resolution of claims.
  3. Negotiation: Negotiate with insurers and third-party representatives to achieve optimal claim settlements, taking into account policy terms, legal considerations, and client interests.
  4. Documentation: Prepare and maintain accurate records of claim-related communications, activities, and payments, ensuring compliance with company procedures and regulatory requirements.
  5. Customer Service: Provide responsive and empathetic customer service to clients, addressing inquiries, concerns, and requests for assistance related to claims.
  6. Loss Prevention: Identify and implement proactive measures to minimize the risk of claims, such as recommending risk management strategies and coverage enhancements to clients.
  7. Continuous Improvement: Stay abreast of industry developments, emerging trends, and changes in insurance regulations to enhance expertise and improve claims handling practices.
  8. Claims Expert: Mentor and support junior claims handlers, fostering a collaborative and knowledge-sharing environment.
Key Performance Indicators:
  • Claims Closure Rate: Achieve targets for the timely resolution and closure of insurance claims within established service level agreements.
  • Client Satisfaction: Maintain high levels of client satisfaction by delivering prompt, transparent, and empathetic service throughout the claims process.
  • Settlement Accuracy: Ensure the accuracy and fairness of claim settlements by conducting thorough assessments and negotiations in accordance with policy terms and client needs.
  • Claims Cost Management: Manage claims costs effectively to minimize financial impact on clients and insurers while maximizing value and coverage benefits.
  • Compliance Adherence: Ensure compliance with regulatory requirements, industry standards, and company policies governing claims handling activities.
Qualifications/Key Skills Required:
  • Proven track record of managing complex claims.
  • Excellent communication and interpersonal skills.
  • Attention to detail and accuracy in data entry and documentation.
  • Ability to work effectively in a fast-paced environment.
  • Proficiency in insurance software (Acturis desirable) and Microsoft Office suite.
  • Problem-solving and decision-making abilities.
  • Client-focused mindset with a commitment to delivering exceptional service.
  • Knowledge of regulatory requirements and compliance standards in the insurance industry.
Benefits:
  • 25 days holiday plus 8 bank holidays (increases to 28 after 5 years service and 30 after 10 years service) pro-rata
  • Income Protection: 75% of annual salary (paid after 6 months) for up to 5 years
  • Life Insurance: 4 x Annual Salary
  • MEDICASH
  • Access to Cycle to Work Scheme

As a Claims Resolution Specialist with MORRICE MACFEATE SEARCH & CONSULTANCY LTD T/A MM Search, you will be part of a dynamic team that delivers exceptional claims handling services to our clients. If you have the necessary skills and experience to excel in this role, we encourage you to apply.

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