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Job Description
Assess Life, Serious Illness, Bill Cover, Income Protection, Pension Life Cover and Disability Claims, reviewing medical evidence and ensuring compliance with company procedures and legal guidelines.
As a Claims Assessor, you will be responsible for assessing new claims, calculating benefits, reviewing existing claims, and corresponding with various stakeholders.
This role requires a high level of technical and medical expertise, as well as excellent communication and problem-solving skills.
Key Responsibilities:
- Manage customer interactions in an efficient and empathetic manner to deliver high standards of customer satisfaction.
- Effectively manage all types of claims, reviewing them accurately in accordance with company guidelines and best practices.
- Identify non-standard or complex claims and escalate them to senior colleagues for handling.
- Ensure company service standards are upheld, adhering to company policies and regulatory requirements.
- Evaluate insurance policy coverage for claims and ensure system accuracy.
- Communicate claim action/processing with claimants in a clear and empathetic manner.
Requirements:
- 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).
- General technical knowledge and skills sufficient to handle assigned caseload of claims.
- Ability to read and interpret medical reports.
- Strong critical thinking and problem-solving skills.
- Excellent written and verbal communication skills.
Benefits:
- Work from home.