Job Description
Ready to utiliseyour knowledge in assessing claims within a dynamic global company? Are you looking for an exciting opportunity to learn new skills and further your experience in an investment, insurance, and retirement environment? Make a meaningful impact as aClaims Assessor! The Role? The role involves the assessment of Life, Serious Illness, Bill Cover, Income Protection, Pension Life Cover and Disability Claims & reviewing medical evidence on behalf of the Company, ensuring that all aspects of the Risk claims assessment process comply with Claims Procedures, Legal & Compliance guidelines as well as deadlines and company procedures. In this role you will be accountable for: Assessing new claims and issue relevant medical and financial requirements. Calculating the claim benefits owed to our customers and handling the ongoing payment of these benefits. Reviewing existing claims to ensure the terms for ongoing payment to our customers continues to be met. Corresponding with Advisors, Employers, Claimants, Reinsurers, Legal Representatives, Next of Kin and Doctors. Developing a high level of technical and medical expertise. Building and maintaining effective working relationships within various partners. Supporting and training more junior claims staff. This is an exciting opportunity to learn new skills and help in expanding our Claims capability while expanding your experience in an investment, insurance, and retirement environment. Key responsibilities: Managing customer interactions in an efficient, empathetic, and timely manner in order to deliver high standards of customer satisfaction. Effectively manage all types of claims. Review claims accurately in accordance with Company guidelines and best practices. Reviewing allocated cases and achieving settlement within designated personal authority level and in line with established standards, procedures and guidance provided. Identifying non-standard or complex claims and escalating to more senior colleagues to ensure they are handled appropriately. Ensures that Company service standards are upheld, adhering to company policies and regulatory requirements when facilitating claims processing. Evaluate insurance policy coverage for claims advised. Ensuring system reads all data accurately for each claim making amendments where necessary. Respond in a timely manner to internal and external inquiries for information relative to claims. Review, prepare, create, and/or send letters, reports, and forms as required for any claims. Communicate claim action/processing with claimant in a clear and empathetic manner. Identify notification issues, coordinates resolution and takes corrective actions as needed. Complete ongoing CPD to maintain relevant qualifications. Required Skills & Qualifications: Proven experience in a Life Assurance Company, preferably in a Claims or Underwriting environment Diploma in Life and Disability Claims (DLDC) or the CII Diploma in Life and Disability Underwriting (DLDU) or QFA Qualification or Accredited Product Advisor (Life Assurance & Pensions) Possess and demonstrate a level of general technical knowledge and other skills sufficient to handle assigned caseload of claims within designated handling authority. Ability to read and interpret medical reports. Exhibit strong critical thinking and problem-solving skills. Demonstrate careful attention to detail, diligent and conscientious in the accuracy of their work. Excellent written and verbal communication skills. Skills: Claims Underwriting Insurance qfa Benefits: Work From Home