Claims Customer Service Representative

ZipRecruiter; City of Edinburgh; On-site; GBP 25,000 - 35,000; Full time

Job summary

A leading recruitment agency in Edinburgh is seeking an experienced claims handler to join their Claims Team. The role involves gathering medical evidence, assessing claims, and making decisions based on policy benefits. Candidates must demonstrate strong communication and problem-solving skills, with a focus on delivering empathetic service. If you are passionate about customer care and looking to enhance your skills in a supportive environment, apply today.

Qualifications

• Demonstrable experience in a claims CSR role within relevant sectors.
• Proven ability to handle sensitive customer situations.
• Knowledge of FCA regulations and complaint handling procedures.

Responsibilities

• Gather supporting medical evidence and assess claims.
• Make decisions based on information gathered.
• Deliver good customer outcomes and provide outstanding service.

Skills

Claims handling experience

Empathy and professionalism

Strong communication skills

Problem-solving skills

Attention to detail

Tools

Microsoft Office (Word & Excel)

Job description

Overview

We celebrate the of our community and are committed to creating an inclusive environment for all employees. We encourage applications from people of all backgrounds, experiences and perspectives.

The Claims Team are responsible for the handling of health, or bereavement claims which require gathering supporting medical evidence, assessing evidence and making a claims decision based on the information gathered and the benefits provided by the customer's policy/policies.

Responsibilities

• Handle health or bereavement claims by gathering supporting medical evidence, assessing the evidence, and making a claims decision based on information gathered and the benefits provided by the customer’s policy/policies.

Qualifications

• Demonstratable experience in a claims CSR role within the pensions, life insurance or investment sectors.
• Proven expertise in handling sensitive customer situations with professionalism and empathy.
• Strong working knowledge of pensions industry and other retirement products.
• Strong communication and problem-solving skills, with the ability to explain complex information clearly.
• Familiarity with FCA regulations, data protection, and complaint handling procedures.
• High level of accuracy and thoroughness in reviewing documentation.
• Ability to identify discrepancies and potential fraud.
• Ability to explain complex information clearly and concisely.

Our people are

• Committed to deliver good customer outcomes in a relevant and customer focused way.
• Passionate about delivering a seamless customer experience with empathy and respect, with the ability to remain calm under pressure.
• Excellent listeners with strong verbal and written communication skills and able to simplify complex matters whilst providing outstanding service
• Great problem solvers, flexible, and adaptable to changing priorities
• Comfortable switching between multiple IT applications with attention to detail
• Proficient in Microsoft Office (Word & Excel)
• Excited to work with other great people and create a supportive workplace
• Passionate about learning and sharing knowledge to enhance skills and develop best practices

If you need any help or adjustments at any stage within the recruitment process due to health, , or any other reason, please let us know when you apply or talk to the recruiter or hiring manager directly so we can support you.

Ready to take the next step in your career? Apply today and become part of our innovative team!

Reasonable Adjustments

Respect and equality are core values to us. We are proud of the diverse and inclusive community we have built, and we we welcome applications from people of all backgrounds and perspectives. Our success is driven by our people, united by the spirit of partnership to deliver the best resourcing solutions for our clients.

If you need any help or adjustments during the recruitment process for any reason, please let us know when you apply or talk to the recruiters directly so we can support you.