Claims Specialist (80-100%)

The Team

We are a large team of Claims Analysts and a Claims Specialists working with a key client to manage claims end to end as the primary insurer. Our portfolio includes Group and Individual Income Protection product lines.

The Role

The Claims Specialist is responsible for maintaining Swiss Re’s risk profitability through sound claims management decisions and customer service excellence.

Main Duties

• Provide technically correct claims management decisions whilst applying risk management
• Proactively and appropriately manage a portfolio of new and existing claims in accordance with Swiss Re’s claims philosophy and any philosophy agreed with our client
• Providing excellent customer service to clients and claimants demonstrating strong verbal (using telephone) and written communication skills
• Manage the right claims towards desired outcomes, such as return-to-work opportunities for customers.
• Monitoring the claims portfolio ensuring that all claims are reviewed appropriately, and requirements followed up in accordance with procedures
• Provide quality claims input to the business as required eg. changes to philosophy and best practice standards
• Support developing technical expertise eg. participation in claim seminars, training and audits
• Contribute required claims information for business reporting purposes
• Contribute to business projects and initiatives ensuring relevant claims issues are considered in broader based company activities
• Support development on processes/systems where required
• Adhere to risk management guidelines and practices

Skills/experience required 

• Experience within the insurance industry and/or an income protection claims assessment role preferred
• Medical, occupation, vocation and financial technical knowledge relevant to claims assessment highly desirable
• Experience of working within operational roles/teams is a plus
• Excellent interpersonal skills including strong negotiation and influencing skills
• Strong written and verbal communication skills
• Ability to handle multiple sources of information and pay attention to detail
• Effective prioritisation and decision-making skills
• Good knowledge of excel, data analytics and management information reporting highly desirable
• Awareness of Swiss Re structure, plus a solid understanding and application of all ABI guidelines and statements of best practice
• Solid understanding of the UK regulatory environment to include but not limited to: FCA and FOS.

RELATIONSHIPS

Accountable to :

Claims Manager

Works within:

Life & Health Business Management

Location

UK – Folkestone / London