Claims Assessor - Surrey - up to £20,000 plus benefits
Our client is actively seeking an experienced claims assessor to assist the Team Senior to oversee the claims team in providing efficient, accurate and timely administrative support to the companies Claims Department, as well as being an active member of the team.
KEY RESPONSIBILITIES
Report to the Team Senior outstanding workloads on a daily basis.
Advise Team Senior any training needs required within the team.
Assist Team Senior with monitoring work out-put to ensure team performance remains high.
Assist Team Senior with Team meetings and record minutes/action points.
Assist Team Senior with the team appraisals and staff development.
To accurately assess, cost contain, audit invoices and manage medical claims received and to settle them in accordance to liability, including communicating all decisions to the insured, or their representatives, effectively and accurately and to retain copies of correspondence sent, on file.
To resolve any technical or contentious claims within the boundaries of medical knowledge and policy held.
Support the Claims Assessors with the handling of medical claims and be the first referral for their technical enquiries.
Check claims within authority limits and record errors.
To liaise with any internal or external people to discuss medical conditions. To continually strive to improve and develop medical knowledge.
To fully investigate all information that is received concerning claims and to query any anomalies that may occur.
To communicate all decisions to the insured effectively and accurately and to retain copies of correspondence sent, on file.
Advise Team Senior of any claims over £10,000.00 for Underwriter notification and prepare claim information needed to do this.
To ensure that all computer records are up-to date and accurate.
To maintain filing system so that records can easily be found.
To take ownership of and responsibility for customer enquiries politely and efficiently on the telephone.
Refer all complaints to Team Senior for action/advice.
All postal correspondence to be prioritised and actioned within required timescales of receipt.
Email queries and telephone calls to be actioned on day of receipt.
All valid and complete claims to be settled with 5 working days.
To welcome new starters and be a "buddy" when required.
To manage and develop the internal and external relationships which allow the claims function to operate effectively and efficiently.
To promote the best image for the company through the professional appearance and behaviour and adhere to company standards and procedures. To maintain the highest level of personal conduct.
EDUCATION & EXPERIENCE
It is essential that this individual have a good standard of education with excellent communication skills including letter writing skills and telephone manner.
Experience in a medical claims function within an insurance environment, service provider or health organisation is also beneficial.
The candidate will be able to explain concepts simply and unambiguously.
Must be confident to discuss medical conditions with service providers medical personnel and claimants.
The individual should also be computer literate and proficient in the use of the Microsoft Office suite. Training will be provided.
SLS Services Ltd operates & advertises as an Employment Agency for permanent positions and as an Employment Business for contract/temporar
