Claims Assessor at itContracting
itContracting
- Dublin
- Permanent
- Full-time
Location: Onsite - Letterkenny, Co. DonegalThe Role
As a highly analytical Claims Assessor, you will join our company's financial services department, being responsible for reviewing, assessing and processing customer claims in a timely manner and with keen attention to detail. You will review claims submissions, obtain and verify supporting documentation, assess and process claims. In this role, you will also communicate with customers, beneficiaries, their representative or their financial advisor.Key responsibilities:
- Manage customer interactions in an efficient, empathetic, and timely manner in order to deliver high standards of customer satisfaction.
- Effectively manage all types of claims.
- Review claims accurately in accordance with Company guidelines and best practices.
- Review allocated cases and achieve settlement within designated personal authority level and in line with established standards, procedures and guidance provided.
- Identify non-standard or complex claims and escalate to more senior colleagues to ensure they are handled appropriately.
- Identify notification issues, coordinates resolution and takes corrective actions as needed.
- Ensure that Company service standards are upheld, adhering to company policies and regulatory requirements when facilitating claims processing.
- Evaluate insurance policy coverage for claims advised.
- Ensure system reads all data accurately for each claim making amendments where necessary.
- Respond in a timely manner to internal and external inquiries for information relative to claims.
- Review, prepare, create, and/or send letters, reports, and forms as required for any claims.
- Communicate claim action/processing with claimant in a clear and empathetic manner.
- Complete ongoing CPD to maintain relevant qualifications.
Key Skills/knowledge/Experience:
- Extensive experience in either a claim assessing and processing, financial service, customer service.
- Meet the Minimum Competency Code of the Central Bank of Ireland, holding or working towards obtaining the QFA modules in Life Assurance and Regulation. Degree in business administration or another related field.
- Possess and demonstrate a level of general technical knowledge and other skills sufficient to handle assigned caseload of claims within designated handling authority.
- Ability to read and interpret medical reports.
- Customer service experience, and preferably experience in claim handling environment.
- Exhibit strong critical thinking and problem-solving skills.
- Demonstrated careful attention to detail, diligent and conscientious in the accuracy of their work.
- “Can Do”, proactive attitude.
- Excellent written and verbal communication skills.
- Ability to operate in a fast paced, dynamic environment and able to work under pressure.