Claims Management Specialist

Unum Limited
04 Mar 2019
03 Apr 2019
Contract Type
Full Time

We are currently recruiting for an enthusiastic and dynamic Claims Management Specialist.

Location: Basingstoke

Type of employment: regular, full-time

Job description summary:

The proactive management of claims administered by Unum, providing the financial security and support to enable our customers to focus on recovery whilst developing and maintaining strong customer relationships within and outside the company.

Key Accountabilities:

  • Provide a high level of customer service at all times through the achievement of service standards and an awareness of customer expectations and perspective
  • Investigate all claims within an allocation, reaching a decision as to initial liability and continued validity through the application of medical knowledge and the accurate interpretation of policy documentation, proactively identifying and obtaining all information necessary to the validation of each claim effectively utilising direct contact on all claims unless documented as inappropriate and setting clear management plans.
  • Communicate all claims decisions in a timely and appropriate manner and ensure that communication during the assessment process is regular, timely and clearly documented.
  • Work with the Customer Care rehabilitation team in promoting and assisting claimants in returning to work
  • Build and maintain strong relationships with all customers, co-operating with Sales in developing and maintaining business
  • Attend company meetings as representative of Unum
  • Work co-operatively within the team and department to meet business needs and ensure appropriate work balance, participating in team social responsibility initiatives.
  • Contribute to short-term team and departmental projects.
  • Ensure the continued protection of Unum’s information, by following all applicable Information Security policies and procedures and by reporting suspected weaknesses in information security controls to the Information Security Officer.
  • Understand how Conduct Risk, Treating Customers Fairly (TCF) Risk Management and Solvency II systems of Governance relate to both the role and the divisional activities and highlight any opportunities for improvement.
  • Comply with Unum’s Code of Conduct and other Company Policies and Procedures as appropriate to the role.
  • Claim allocation- 70-100
  • Cheque Signing Limit- £12,500 as awarded by Claims Manager

Behavioural Competencies:

  • Delivers Results
    Sets high goals for personal accomplishment and contribution to team/area goals; monitors progress and works diligently to meet/exceed goals.
  • Develops Self
    Displays strong capacity and thirst for learning and developing broad business and leadership skills; openness to diverse ideas & experiences and has keen self-awareness re: strengths and areas of development.
  • Makes Effective Decisions
    Evaluates options by thinking both critically and holistically when considering relevant information and potential implications to both the team and company; chooses an effective option.
  • Strong Business Acumen
    Displays strong understanding of own department and good general understanding of overall business objectives, evolving customer needs and technological solutions; applies continuous improvement practices to enhance business processes and results.
  • Strong Teamwork
    Actively works collaboratively to help move the team toward the completion of team and business goals.
  • Values Driven
    Interacts with others, internally and externally, in a way that gives them confidence in one's intentions and those of the organization; operates with highest integrity/ethics.

Required Knowledge and Skills:

  • Ability to communicate with claimants in an empathetic manner
  • Familiarity with Microsoft Office Suite, AWD, VB Root CMS
  • 2. 75% minimum pass in assessor training including: Understanding of the NHS, Psychology of illness, Understanding of long term medical conditions, diagnosis, treatment and prognosis, In depth knowledge of all types of IP policies administered by Unum, Principles of reserving, Principles of disability claims assessment, Use of claims management tools such as functional assessments, Understanding of rehabilitation processes, Dealing with complaints, Principles and practice of settlement of claims, The Disability Discrimination Act, the Data Protection Act and allied law, Time and work list management

Training Requirements:

  • Presentation Skills
  • Effective Meetings
  • Scheme Underwriting
  • Understanding the Impact of Change
  • Compulsory Annual Training
  • Ongoing departmental development sessions
  • Communication
  • Conflict Management
  • Negotiation Skills

Minimum entry criteria:

  • Good level of literacy
  • Graduate level of qualification (or equivalent) and/or experience in law, psychology, nursing or other relevant discipline
  • The ability to make autonomous decisions under pressure
  • The ability to surface and deal with conflict appropriately
  • Self confidence and the ability to influence others
  • A clear ability for logical thought and problem solving
  • The ability to adapt to change
  • Self management skills
  • Respect for others

What we offer:

  • Restaurant facilities and vending machines offering free hot drinks
  • 27 days’ holiday plus bank holidays
  • Two days’ paid volunteering working alongside a variety of community partners
  • Travel insurance
  • Dining card
  • (2nd place) in the 2018 Britain's Healthiest Workplace Competition!!!

and many more benefits...

To apply please visit our Unum UK careers page.

Apply Now!

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