Job Requirements/Description
Due to continued growth my client, a household name in the UK insurance industry, currently seeks an experienced Income Protection Claims / Quality Assurance Assessor to join their friendly team (remote or hybrid). Duties will include: Managing claims where complaints or technical issues have been raised regarding customer outcomes Taking ownership of appeals and complaints and ensuring that they are handled in a fair, compliant and transparent fashion. Analysing claims files to ensure claims have been assessed fairly and requesting further evidence where required Handling all aspects of customer communication throughout the claims process. Liaising with internal and external sources in order to secure all necessary information in order to effectively assess claims. Use of technical expertise, medical knowledge and logical reasoning to confirm validity of initial claims decision or make necessary changes required to provide the customer with a fair outcome. Identifying potentially fraudulent claims and raising concerns with the management team. Support less experienced colleagues with training and development. Handling complex and contentious claims involving fraud or potential litigation. Providing input into opportunities for process and procedural improvement. Applicants must possess a proven background in Income Protection (or medical) claims with the ability to logically assess through to conclusion. You will possess good all round medical knowledge along with a thorough understanding of claims processes and philosophy. Excellent communication skills are a pre-requisite along with the ability to handle sensitive situations using empathy and understanding. This is a great opportunity to join a leading insurer offering flexible working, a generous remuneration, benefits and bonus package, great working environment and outstanding prospects for development.