Location: Bristol or Salisbury • Hybrid Working
Summary of the role
An FCA-regulated business is seeking a dedicated professional to join the company as a Senior Claims Assessor. They are looking for someone who will make fair, correct, efficient decisions whilst hitting targets and effectively assessing claims in at least one or more of the following areas, depending on business need: Income Protection & Waiver of Premium, Critical Illness, Permanent Total Disability and Death claims.
What you’ll be doing
- Making admittance and medical decisions and making recommendations within admittance authority for declines/terminations/mis-representation.
- Proactively manage a nominated portfolio of claims.
- Liaising with claimants throughout the claims process and thoroughly investigate all claims, requesting and using appropriate medical and other evidence to assess the claim proactively within the agreed service standards.
- Making recommendations to innovatively develop the Company’s claim philosophy and protocols.
- Providing authoritative technical support to the Risk Claims administration teams.
- Meeting service delivery measures of agreed service levels and elapsed times.
- Undertaking projects, sponsored by the Risk Claims Manager, to develop the effectiveness of the Company’s claims management and improve its standing with key stakeholders.
- Carrying out technical audits and reviewing technical competencies, providing feedback and coaching to ensure claims are managed in accordance with the Company’s claims philosophy and protocols and that claims assessors maintain appropriate technical competence and safeguard relationships with reinsurers.
- Meeting Technical and Quality Audit targets.
What we’re looking for
- Experience in at least one of Income Protection, Waiver of Premium, Critical Illness, Permanent Total Disability, and Death Claims assessment.
- Excellent telephone manner with the ability to deal with anxious, distressed and sometimes angry customers.
- Strong Microsoft and general PC skills.
- Proven ability to make admittance, declinature and medical decisions and recommendations within admittance authority.
- Proven ability to coach and mentor less experienced claims assessors to develop their technical knowledge.
- Flexibility and adaptability
- Planning and organisational skills
- Excellent letter-writing skills and the ability to draft detailed non-standard letters.
- A good level of general education in appropriate subjects is preferred.
Reasonable Adjustments
Respect and equality are core values to us. We are proud of the diverse and inclusive community we have built, and we welcome applications from people of all backgrounds and perspectives. Our success is driven by our people, united by the spirit of partnership to deliver the best resourcing solutions for our clients.
If you need any help or adjustments during the recruitment process for any reason
Please let us know when you apply or talk to the recruiters directly so we can support you.
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