Claims Consultant

• Job Title
• Claims Consultant

Responsibilities

• Operate within own area of accountability, escalating issues and seeking guidance when required
• Investigate, evaluate and decision make
• Progress own caseload to avoid litigation, reduce costs and achieve a fair and speedy settlement
• Undertake Third Party Rights investigations and ensure the provision of appropriate advice/guidance to the teams
• Follow ‘Best Practice’, utilising documentation and procedures
• Attend meetings with the client, along with policy colleagues to provide technical input where required
• Follow protocols and guidelines to ensure client’s service standards are met in accordance with Service level agreements
• Adhere to Capita Insurance Services policies and procedures In particular to ensure operational controls are carried out in accordance with laid down procedures, to ensure the ongoing mitigation of business risk (In this regard regular training should be agreed with the Service Delivery Director /Team Manager)
• Liaise in a professional manner with external and internal customers using the most appropriate medium, e. g. telephone, e-mail, letters, etc
• Build and maintain effective relationships with all customers
• Adhere to defined quality standards and quantitative targets whilst managing and prioritising own workflow
• Contribute to the achievement of both financial and reputational targets
• Commit to own personal development, maintaining and developing technical knowledge and expertise
• Ensure compliance of regulatory requirements
• Ensure effective use of internal technology
• Provide support, mentoring and guidance as required
• Work in accordance with your own personal authority as indicated in the Authority Matrix.
• Reviewing and analysing claims for accuracy, completeness and eligibility.
• Delivering an accurate, efficient high-quality service in line with service level agreements
• Reviewing all claims to assure adherence to and compliance with the approved business processes and responsibilities of all parties involved in evaluating, processing and handling each claim.
• Offering professional and empathetic communication to all claimants throughout the assessment journey.

Essential Qualifications

• Proven history of EL / PL claims handling experience
• Recent disease claims handling experience, NIHL, Pleural Plaques and VWF/HAVS
• Good understanding of medical and legal terminology
• Educated to GCSE grade 9 to 4 (A* to C) or equivalent including Maths and English
• Ability to build good working relationships
• Good communication skills at all levels
• Ability to achieve high standards of performance at all times.
• Good IT skills
• A commitment to learn and develop new skills
• Strong team player
• Ability to remain motivated in a changing working environment

Desirable Qualifications

• Experience of the FSCS contract
• Relevant professional qualification

Benefits

• We offer full training and support when you join us, and there will be opportunities to grow and develop within the business.

As part of this pioneering team, you will also receive additional levels of ongoing coaching and development.

There will also be incentives and bonuses on offer for delivering key objectives within your role, additionally we also offer…

• A competitive salary
• 23 days holiday (including public holidays)
• A pension scheme
• A wide range of discounts on many products and services cycle2work scheme

We’re truly committed to building a diverse and representative workforce and as part of our strategic plans we are aiming to accelerate gender and ethnic representation in leadership.

As such we would particularly welcome applications from people who are female and/or are from Black, Asian and other ethnic minority backgrounds.

We’re an equal opportunity and Disability Confident employer, which means we recruit and develop people based on their merit and passion.

We’re committed to providing an inclusive, barrier-free recruitment process and working environment for everyone.

If you need the job description or application form in an alternative format (such as large print or audio), or if you’d like to discuss other changes or support you might need going forward, please email reasonableadjustments@capita. com and we’ll get back to you.

Time Type: Full time

Capita is an outsourcer, helping clients across the public and private sectors run complex business processes more efficiently, creating better consumer experiences.

Operating across 8 countries, we support primarily UK and European clients with people-based services underpinned by market-leading technology.

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