Claims Administrator

Recruiter
LMC Recruitment
Location
Ampney Crucis
Posted
10 Feb 2018
Closes
15 Feb 2018
Sector
Accountancy
Contract Type
Permanent
Hours
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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