Claims processor
Claims processor
Posted on :
27-04-2024
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Job Description
Overview:
TekWissen Group is a workforce management provider throughout the UK Europe and many other countries in the world. The client below is a global professional services company with leading capabilities in digital cloud and security. Combining unmatched experience and specialized skills across more than 40 industries
Job Title: Claims processor
Location: Remote
Job Type: 12 Months Contract
Job Description
- To receive claims notifications assess claims and make settlement within the guidelines and claims philosophy of the organisation.
- Product range: Life Critical Illness Income Protection TPD Business Protection and Waiver of Premium
- A key requirement of the job role is to provide fair and balanced claims decisions using the appropriate amount of evidence necessary. The organisation will be judged by intermediaries and customers on the speed and quality of the claims process. The organisation wish to be seen as being fair to customers and providing support and assistance at claim but equally claims must be fairly assessed and only those which are valid can be paid.
- The jobholder will be in daily contact with customers intermediaries and service providers both in writing and on the telephone. The telephone helplines will eventually be available from 8am to 8pm and therefore some flexibility of working hours may be required.
What we expect from you:
- Manage Individual Protection claims from initial notification through to final settlement for the following products on a daily basis within an agreed level of authority and within service standards:
- Life Assurance
- Critical Illness Benefit
- TPD
- Income Protection
- Waiver of Premium
- Instant
- Business Protection
- Whole of Life
- Guaranteed over the Fifties
- Assessment of claims in line with the organizations 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 inquiries
- 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 the organization to ensure that it remains innovative and forwardthinking constantly challenging the status quo.
- Work closely with other areas within the organization (for example Group Claim Assessors Underwriting Actuarial Client Services) to develop a thorough understanding of the business and contribute to best practice overall.
- Represent the organization at Industry meetings including Focus CAMPUS and the Health Claims Forum.
TekWissen Group is an equal opportunity employer supporting workforce diversity.
Employment Type
Full Time
Key Skills
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