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Medical Claims Assessor

4 months ago


UK, UK, United Kingdom The Emerald Group Ltd, Search and Selection Full time

3 MONTH OR 4 MONTH DAY RATE CONTRACT


Are you an experienced claims assessor with an appetite for providing excellent customer service and a desire to support our vulnerable customers when they need it the most? If so, look no further for your next career challenge.


Our product range includes Life, Critical Illness, Income Protection, TPD, Business Protection and Waiver of Premium.


You will have daily contact with customers, intermediaries and service providers both in writing and on the telephone.


Must have experience within Medical Claims and Financial Claims.


What we expect from you:


  • Manage Individual Protection claims from initial notification through to final settlement on a daily basis within an agreed level of authority and within service standards:
  • Assessment of claims in line with the claims philosophy and policy terms and conditions.
  • Communicate with members, clients, doctors, service providers, intermediaries, reinsurers and FOS as necessary to:
  • Obtain further information in relation to claims or potential claim enquiries
  • Explain claims requirements and decisions
  • Resolve appeals and complaints
  • Build and maintain relationships with intermediaries and service providers
  • Work closely with other areas to develop a thorough understanding of the business and contribute to "best practice" overall.
  • Represent the company Industry meetings, including Focus, CAMPUS and the Health Claims Forum