The role asks for someone to run accident and health claims from first notice through to settlement, reading medical evidence and judging claims against policy terms. A strong candidate brings hands on A and H claims experience, sound independent judgement, and the organisation to keep a caseload moving and chase missing evidence. Clear communication with policyholders and careful record keeping matter, and helping set up processes for a new account is part of the job.
How it fits the AI era
Much of the routine work, such as gathering evidence, checking coverage details and keeping records tidy, can increasingly be supported by software, which shifts the handler's time toward judgement and customer contact. Deciding what medical evidence means and settling a claim fairly still rests with a person who can explain the outcome. The role sits in a company that builds claims technology, so comfort with data and new tools is part of the work.
How it builds AI experience
Experience would come from using data to guide claim decisions and from helping shape processes for a new line of business at a technology led claims administrator. Building it means getting fluent with claims systems and reporting, and showing how evidence review and quality checks can be made faster without losing accuracy. Coaching others and flagging inefficiencies also builds a track record in improving how claims are handled.
Worth showing
- A and H claims handling
- Medical evidence review
- Policy coverage assessment
- Claims record accuracy
This is our own read, written from the employer's posting and the company's Spotlight. The employer's posting is the source of truth for the role.
About ClaimSorted
ClaimSorted is a technology-driven third-party administrator (TPA) that manages insurance claims for insurers, MGAs, and other insurance entities, per the company.
Accident & Health Claims Handler employer: present of AI
H Company is an exceptional employer for Product Designers, offering a dynamic work environment in London where innovation meets collaboration. With a strong focus on employee growth, the company encourages continuous learning and experimentation, particularly in the evolving field of AI design. The inclusive culture fosters open communication with users and cross-functional teams, ensuring that every designer's voice is heard and valued, making it a truly rewarding place to advance your career.
