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For Companies At a Glance
- Tasks: Assess and manage insurance claims for various benefits with a focus on accuracy and customer service.
- Company: Diligenta is a leading Life and Pensions Administration Service provider focused on customer service and positive change.
- Benefits: Enjoy 33 days off, bonuses, career development, and a comprehensive wellbeing program.
- Why this job: Join a supportive culture that values personal growth and makes a real impact in people's lives.
- Qualifications: Experience in claims management and strong analytical skills are essential; CII qualifications are a plus.
- Other info: Flexible support available during the recruitment process for all candidates.
The predicted salary is between 36000 - 60000 £ per year.
Who are Diligenta?
Our vision is to be acknowledged as Best in-class Platform based Life and Pensions Administration Service provider. Customer service is at the heart of everything we do and our aim is to transform our clients’ operations. A business that has been described as ‘home’ by existing employees, we drive a culture that is founded on positive change and development.
Summary of the role
An exciting opportunity has arisen for a Claims Assessor to join the operations team at Diligenta. In this role, you will be responsible for assessing new claim notifications across a range of benefits, including Income Protection, Critical Illness, and Total Permanent Disability. Additionally, you will proactively review ongoing income protection and waiver claims.
You will deliver comprehensive and sensitive technical claims management, which involves gathering and assessing claims evidence and information, often through phone consultations, to support informed decision-making. Strong communication skills, particularly when interacting with vulnerable customers or managing difficult conversations, are essential.
You will ensure all claims are managed and assessed in accordance with our claims philosophy, within your delegated authority levels, and in line with industry guidelines and policy terms and conditions.
Benefits
- 33 days including Bank Holidays
- Eligibility for an annual discretionary bonus scheme
- Personal and career development opportunities to progress your aspirations within the company as well as through our global parent company (Tata Consultancy Services)
- Access to Perks at Work (an online discounted shopping platform) saving you money on a wide range of goods and services, including your weekly food shop, holidays and electrical goods
- Cycle to Work Scheme & Interest free Season Ticket loans
- A companywide Wellbeing programme, including an Employee Assistance Programme and other benefits/resources to support your mental/physical and financial wellbeing
- A comprehensive set of Moments that Matter policies, such as Carer’s Leave, Foster Leave and Retirement Leave
- A contributory company pension scheme where we match your contributions up to 6%, Group Life Assurance (‘Death in Service”) & Group Income Protection
- Apply to find out about our other benefits
What you’ll be doing
- Examine and evaluate insurance claims for accuracy, completeness, and eligibility based on policy terms and conditions.
- Make informed decisions regarding the approval or denial of claims based on gathered evidence and policy guidelines.
- Examine and evaluate insurance claims for accuracy, completeness, and eligibility based on policy terms and conditions.
- Investigate and verify the legitimacy of claims through document analysis, medical reports, and other relevant information.
- Liaise with medical professionals, legal advisors, and other third parties to obtain required documents and expert opinions.
- Maintain detailed and accurate records of all claim assessments, decisions, and communications.
- Ensure all claim files are up-to-date and comply with company policies and regulatory requirements.
- Offer exceptional customer service by addressing queries, concerns, and appeals from claimants promptly and professionally.
- Provide clear explanations regarding claim decisions and policy coverage.
What we’re looking for
- Claims management experience within the following areas- Income protection, Waiver, Critical Illness, Terminal Illness, Serious ill Health & Ill Health Early Retirement and preferably CII Claims qualifications (but this isn’t essential)
- Excellent judgement and decision making skills supported by strong analytical and critical thinking abilities to evaluate complex information.
- Ability to cope with varying workloads, pressure & priorities.
- Proficiency in analysing medical reports, financial documents, and other relevant data.
- High level of accuracy and thoroughness in reviewing claims and documentation.
- Ability to identify discrepancies and potential fraud.
- Ability to explain complex information clearly and concisely
- Strong commitment to providing exceptional customer service.
- The ability to communicate effectively and sensitively with vulnerable customers which may also necessitate some difficult conversations.
If you need any help or adjustments for any stage within the recruitment process due to health, disability, or any other reason, please let us know.
Ready to take the next step in your career? Apply today and become part of our innovative team!
Health Claims Assessor employer: Sanderson Recruitment Plc
Contact Detail:
Sanderson Recruitment Plc Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Health Claims Assessor
✨Tip Number 1
Familiarize yourself with the specific types of claims you'll be assessing, such as Income Protection and Critical Illness. Understanding the nuances of these areas will help you demonstrate your expertise during interviews.
✨Tip Number 2
Practice your communication skills, especially in handling sensitive conversations. Role-playing scenarios can help you prepare for interactions with vulnerable customers, showcasing your ability to provide exceptional customer service.
✨Tip Number 3
Research Diligenta's claims philosophy and industry guidelines. Being knowledgeable about their approach will allow you to align your answers with their values and demonstrate your commitment to their mission.
✨Tip Number 4
Network with professionals in the insurance and claims management field. Engaging with others can provide insights into the role and may even lead to referrals, increasing your chances of landing the job.
We think you need these skills to ace Health Claims Assessor
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities of a Health Claims Assessor. Familiarize yourself with the types of claims you'll be assessing, such as Income Protection and Critical Illness, to tailor your application accordingly.
Highlight Relevant Experience: In your CV and cover letter, emphasize any previous experience in claims management or related fields. Be specific about your roles and responsibilities, particularly those that align with the job description provided by Diligenta.
Showcase Communication Skills: Since strong communication skills are essential for this role, provide examples in your application of how you've effectively communicated with customers, especially in sensitive situations. This could include handling difficult conversations or providing clear explanations of complex information.
Tailor Your Application: Customize your cover letter to reflect Diligenta's values and mission. Mention how your personal goals align with their vision of being a best-in-class service provider and how you can contribute to their culture of positive change and development.
How to prepare for a job interview at Sanderson Recruitment Plc
✨Understand the Claims Process
Familiarize yourself with the claims assessment process, especially in areas like Income Protection and Critical Illness. Be prepared to discuss how you would evaluate claims based on policy terms and conditions.
✨Showcase Your Communication Skills
Since strong communication is key in this role, practice explaining complex information clearly. Think of examples where you've had to manage difficult conversations, especially with vulnerable customers.
✨Demonstrate Analytical Thinking
Prepare to discuss your analytical skills and how you've used them to assess claims or identify discrepancies in the past. Highlight any experience you have with medical reports or financial documents.
✨Emphasize Customer Service Commitment
Diligenta values exceptional customer service. Be ready to share specific instances where you've gone above and beyond to assist clients, particularly in sensitive situations.
