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Claims Assessor Specialist

2 weeks ago

Bournemouth, United Kingdom Vitality Full time

**About The Role**:
**Remote role**

**Overall Job Purpose**

You will as a Claims Assessor
- Specialist assess Life Cover, Terminal Illness and Critical Illness Cover in line with current UK industry best practice. As part of your role you will support the training of other assessors to be able to assess these claims.

Although this role is home based we may ask you to work from the office from time to time.

**Responsibilities**
- Assess validity of claims submitted. This assessment must follow current UK industry-leading claims practice and will include obtaining medical and other evidence as well as drafting and issuing claims decision letters and other claims related correspondence
- Identifying possible fraud, non-disclosure, misrepresentation, and pre-existing conditions
- Work with the strategic underwriters, management, reinsurers, and other stakeholders to ensure the swift and correct outcome of a claim
- This will be a variety of mentoring and coaching of junior stuff members, including holding case study sessions and delivering training on specific topics
- Assisting with Complaint resolution

**Essential** Skills required**
- Medical qualification
- A broad experience of assessing and managing Life Cover and tiered Criterial Illness claims
- A detailed knowledge of the UK insurance market and regulatory environment
- Experience of dealing directly and effectively with the FOS on claims related matters
- Good experience of working with reinsurers
- Presenting ideas and training peers
- An advanced level of Communication Skills (verbal & written)
- Intermediate skills in Word, Excel, PowerPoint, and usual Office apps
- CII claims qualification

**About Us**:
Vitality is an award-winning, dynamic and vibrant financial services provider, with a ground-breaking vision for the future, where individuals are enabled to succeed and are rewarded and recognised for their contribution to our business. We’re the UK insurer and investment provider that rewards people for positive lifestyle choices - a key element of our Shared-value model. With 1.4m UK members and more than 25m globally, we’re out to make the world a healthier, happier place. This applies as much to our people as it does to our members. #LI-Remote

Working for Vitality, you'll experience an exciting mix of creativity and innovation, within a framework of challenging objectives and a passion for delivering the best. We think work should be fun and sociable, and we want our people to get the most out of every day. Our people are chosen for their skills, knowledge, enthusiasm and attitude but above all, their belief that anything can be achieved. Wherever possible, we will consider a variety of working options to suit your lifestyle, whether that be hybrid home/office working, flexible working and part or full time employment. It’s what we call offering shared values, because a healthy happy team is good for us, good for our members and good for you.

Find out why people love being part of the Vitality Team