Claims Administrator

LMC Recruitment
Ampney Crucis
10 Feb 2018
15 Feb 2018
Contract Type
Full Time

Our client based in Cirencester is recruiting a Claims Handler to join their team. The main purpose of the job is to assess the validity of health claims

Main Responsibilities and Duties:

Receiving and handling enquires/correspondence in relation to health claims including issuing claim forms where necessary.

Taking responsibility for a timely and accurate assessment of an allocated case load of claims and dealing with all matters pertaining to those claims including, but not exclusively:

  • Being first point of contact for the claimant, internal departments and outside agencies associated with the claim
  • Validating financial evidence/documentation
  • Calculating benefit entitlement
  • Validating medical evidence/documentation
  • Identifying and investigating potential non-disclosure
  • Identifying and investigating potential fraudulent claims
  • Liaising with claimants, authorised agents and other sources, in a professional and friendly manner, to satisfy the Society’s claims criterion
  • Preparing cases for input by the Chief Medical Officer and/or Underwriters.
  • Dealing with all documentation in a systematic, accurate, professional and timely manner as required, adhering to compliance and Society standards at all times
  • Ensuring all information is accurately entered into the necessary systems in order to record, track and report on progress as necessary
  • Ensuring that claimants are kept informed of the progress of their claim
  • Ensuring that the Senior Claims Handler is kept informed of the current status of all allocated claims.

Following completion of the validation process; formulating decisions and authorising claims within an agreed authority level where relevant.

The right candidate must have the following skills and attributes:

  • A good standard of education with a minimum grade 'B’ GCSE in Maths and English
  • Proficient in Microsoft Office applications specifically Outlook, Word, Excel and the Internet
  • FPC1/CF1/IF1 - Preferred but not essential
  • CPD gained within the Financial Services industry
  • Life and Disability Claims paper of the Diploma in Life and Disability Claims
  • Experience of dealing with health claims
  • Experience of working within the Financial Services industry

In return - Salary and Benefits

Salary Band: £20,449 pa

Pension: Currently 10% non-contributory

Performance Related Pay: Maximum 10% of base salary based on agreed achieved KPI’s and paid annually

Holiday: 25 days plus bank holidays

Core Hours of work: Monday to Friday 8.45am to 5pm with one hour for lunch

Additional Benefits:

Death in Service Cover

Relevant training

Corporate Eye Care Package

Private Health Cover

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