ROLE BRIEF
To provide a quality service to the customers of a leading Private Health Insurer that will meet or exceed the Insurer’s expectations. A claims handler will be expected to deliver and perform day-to-day tasks pertinent to the team’s activity with a major focus on quality, accuracy, service level agreements (SLA’s), procedures and process improvement.
ROLE RESPONSIBILITIES
- Accurately record claim notifications, request relevant supporting documentation and settle/decline/pend claims in a timely manner
- Manage claims from first notification through to settlement
- Provide effective and accurate advise to claimants based on a strong working knowledge of policy terms and conditions
- Review allocated cases and achieve settlement, within designated personal authority level, in line with established standards, procedures and guidance provided
- Manage customer interactions in an efficient, courteous and timely manner in order to deliver high standards of customer satisfaction
- Interact with customers directly and/or liaise with their Delegated Authorities to ensure the highest level of service and continuous operational efficiency
- Provide assistance where required in the training of new team members
- Ensuring that you achieve the minimum insurance standard qualification within the time frame and comply with the CPD requirements where appropriate
- Successfully contribute to the development and delivery of the teams goals, objectives and results
Qualifications and Education Requirements
Educated to A level, Leaving Cert or equivalent having received passes in English and Math’s, demonstrating sound academic skills and background in order to undertake regulatory training and exam process.
ESSENTIAL SKILLS
- Computer literate with knowledge of Microsoft office programmes
- Willingness to work positively within a team environment with strong emphasis on support, flexibility and efficiency
- Excellent communication skills both written and oral
- Must be self-motivated, flexible and capable of working to critical deadlines whilst using their own initiative
- Excellent organizational, interpersonal and communication skills
- Accuracy and attention to detail and high quality standards are a vital component of the position
No formal insurance experience required as full training is provided, however the following is preferable:
- Full working knowledge of Consumer Protection Code & Central Bank of Ireland Regulatory Requirements.
PREFERRED SKILLS
- APA or CIP qualification
- Educated to degree level