CRBFJP - Individual Claims Assessor - London, United Kingdom - Experis IT

Description

Job Description

Responsibilities:

• 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 out client life 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
• Contribute ideas for the continuous improvement of the claims business process within our clients Life to ensure that our clients Life remains innovative and forward thinking - constantly challenge the status quo.
• Work closely with other areas within out client's Life (for example Group Claim Assessors, Underwriting, Actuarial, Client Services) to develop a thorough understanding of the business and contribute to "best practice" overall.
• Represent our clients Life at Industry meetings, including Focus, CAMPUS and the Health Claims Forum

Experience:

• Minimum GCSE's or equivalent
• Experience of medical and financial claims assessment across a range of product lines
• Good computer literacy, sound numerical and verbal literacy skills
• Well developed and effective communicator both verbally and in writing.
• Confident, resilient, organised, approachable and dependable
• Desire to deliver excellent customer service.
• A demonstrable 'can-do' attitude with the ability to pro-actively manage workload.

Desirable:

• Degree or equivalent CII qualification
• Previous use of an image and workflow system