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Claims Assessor

Posted on Jul 11, 2019 by CV-Library

East Sussex, United Kingdom
Accountancy
Immediate Start
£28k - £32k Annual
Full-Time
Job Title: Claims Assessor

Salary: £28,000 - £32,000 per annum

Location: Hove

Our client is looking to recruit a Claims Assessor to provide a pro-active and comprehensive claims assessment and management service for a defined account portfolio, authorising and processing the payment of claims on all Group Protection Products. (Flexibility to work from home 2 days a week once training is complete)

Responsibilities

Triage and assessment of new Group Protection claims, determining what medical evidence to obtain in line with the client's philosophies

Provide a comprehensive assessment of Group Protection claims, deciding whether to accept or reject liability and authorise payment as per individual authority limits as agreed by the Head of Benefits, whilst meeting the expectations of the IFA's and our corporate clients.

Develop and build effective relationships with IFA's and Policyholders (employers), in order to maximise the effectiveness of the benefit management processes including the provision of support for the portfolio management of defined schemes.

Authorise expenditure on appropriate external medical evidence to support the assessment of individual claims up to £5,000

Propose expenditure on rehabilitation or work re-integration programmes where there is a suitable cost/benefit justification for doing so.

Where appropriate, assist in the provision of Management Data on portfolio accounts which analyses performance and identifies key trends.

Train, mentor and develop other members of the benefits team, to improve their skill level

Ensure a consistent, timely and accurate level of service is maintained in line with service level agreements and promises made to meet customers' expectations, and that are within scope of Customer Experience and Treating Customers Fairly policies. Where failures are identified, provide information and feedback to the relevant areas to enable changes and improvements to be made.

Adhere to processes and systems to ensure that all customer data is dealt with appropriately in accordance with legislation, in particular the Data Protection Act (1995), the Access to Medical Reports Act (1988) and the client's Confidentiality Policy.

Requirements

The job holder requires excellent communication, both verbal and written, skills; analytical and risk management skills; ability to be creative and strategic thinking.

Strong claims assessment skills

The job holder is encouraged to obtain the Life & Disability Claims Diploma and the Group Risk GR1 module of the FPC qualification both of which are qualifications supported by the Chartered Insurance Institute

In depth knowledge of all Group Protection products past and present

Good understanding of medical conditions and the effect these can have on an individual's ability to work

Awareness of the investigative and rehabilitation services provided by external organisations.

Benefits

Annual Discretionary Bonus - Based on individual performance

Pension contribution - 5% of salary by L&G, plus up to 5% match

25 days holiday allowance

Private Medical

Life Assurance - 8 x basic

Group Income Protection

For more information please contact Angela Potter at Clearline Recruitment

Reference: 210397597

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