Claims Advisor
£23,000 Full Time Salary
Regular Monday to Friday daytime hours available with General & Medical, a well-established family-run
company who specialise in Health Insurance, now keen to recruit a candidate into our Claims team with
excellent communication skills and experience with customer calls. Essential skills include Microsoft Office
and you will need to demonstrate excellent organisation ability to manage your customer base and provide
assistance. The position is office based with a focus on delivering a quality service to our customers.
Responsibilities for this position:
Listening to and understanding the individual needs of each customer
Developing a good relationship with all clients by providing a personal service and undertaking regular
contact calls to meet client requirements
Skilful communications by phone, email and written correspondence and by demonstrating capabilities
to deal with a wide variety of health related claims
Recording accurately all events / details and actions relating to specific individuals on the database.
Ensuring copies of all documents and letters which are sent out/issued are retained on the client file
Working as a team member, supporting colleagues and the Company
Managing own workflow in a timely manner
Having an understanding of how the functions of the role interlink and benefit that of other roles
Processing Claims:
Work proactively to process claims by contact with the client and the Medical Service Providers
Ensure a thorough understanding of the cover purchased by a client to differentiate between eligible and
ineligible claims
Works in a methodical way to present full facts to the claims decision maker in order that an appropriate
decision can be made on each claim
Ensure that all relevant data and scans are entered into the database
Be able to account for actions relating to claims by using methodical accurate data input methods
Complaints:
Takes required actions to resolve potential and existing complaints, discussing any complaints or claims
that may become contentious with the Customer Service Manager
Adhering to Regulations:
Undertake Financial Conduct Authority (FCA) Training as required and keep yourself up to date with any
relevant regulation changes
Ensure that own work is in accordance with set procedures and in such a way that it shows a full history
of events, which are specific and evidenced
Undertake Data Protection training as required and ensures working procedures adheres to the set
regulations
Telephone System:
Take appropriate incoming calls and handle as necessary
Log all calls to the individual client record on the database