Senior Claims Assessor, Remote

Sanderson Recruitment Plc; United Kingdom; Remote; GBP 35,000 - 55,000; Full time

Job summary

Sanderson Recruitment Plc is seeking a Senior Claims Assessor for a remote role with a FCA-regulated life & pensions service provider. You will assess claims across Income Protection, Waiver of Premium, Critical Illness, Permanent Total Disability and Death claims, making admittance decisions and proactively managing a portfolio.

You will liaise with claimants, gather medical evidence and ensure decisions align with service standards.

Qualifications

• Experience in at least one of Income Protection, Waiver of Premium, Critical Illness, Permanent Total Disability or Death Claims.
• Excellent telephone manner with the ability to deal with anxious or distressed customers.
• Strong Microsoft Office and general PC skills.
• Proven ability to make admittance, declinature and medical decisions within authority.
• Proven ability to coach and mentor less experienced claims assessors.

Responsibilities

• Make admittance, declinature and medical decisions within admittance authority.
• Proactively manage a nominated portfolio of claims.
• Liaise with claimants and gather evidence to assess claims within service standards.
• Provide technical support to Risk Claims administration teams.
• Meet service delivery measures and quality audit targets.
• Undertake projects to develop claims management processes and performance.

Skills

Telephone skills

Microsoft Office

Planning & Organising

Letter writing

Coaching ability

Adaptability

Education

General education

Job description

Senior Claims Assessor, Remote

Summary of the role

A FCA regulated life & pensions service provider are seeking a dedicated professional to join the company, as a Senior Claims Assessor. This role involves making fair, correct, efficient decisions whilst hitting targets as well as effectively assessing claims in at least one or more of the following areas, depending on the business need: Income Protection & Waiver of Premium, Critical Illness, Permanent Total Disability and Death claims.

What you'll be doing

• Making admittance and medical decisions and make recommendations within admittance authority for declines/terminations/MIS-representation.
• Proactively manage a nominated portfolio of claims.
• Liaising with claimant(s) throughout the claims process and thoroughly investigate all claims, requesting and using appropriate medical and other evidence to assess the claim proactively within the agreed service standards.
• Making recommendations to develop innovatively the Company's claim philosophy and protocols.
• Providing authoritative technical support to the Risk Claims administration teams.
• Meeting service delivery measures of agreed service levels and elapse times.
• Undertaking projects, sponsored by the Risk Claims Manager, to develop the effectiveness of the Company's claims management and improve its standing in the eyes of key stakeholders
• Carrying out technical audits and review technical competencies, providing feedback and coaching to ensure claims are managed in accordance with the Company's claims philosophy and protocols and that claims assessors are maintaining appropriate levels of technical competence and safeguarding the company's relationship with other companies and our reinsurers.
• Meeting Technical and Quality Audit targets

What we're looking for

• Previous experience in at least one of Income Protection, Waiver of Premium, Critical Illness, Permanent and Total Disability and Death Claims assessment.
• Excellent telephone manner with the ability to deal with anxious distressed and sometimes angry customers.
• Strong Microsoft and general PC skills.
• Proven ability to make admittance, declinature and medical decisions and make recommendations within admittance authority.
• Proven ability to coach and mentor less experienced claims assessors to enable them to develop their technical knowledge.
• Flexibility and adaptability.
• Planning and organisational skills.
• Excellent letter writing skills, the ability to draft detailed non-standard letters.
• A good level of general education in appropriate subjects is preferred.

Reasonable Adjustments:

Respect and equality are core values to us. We are proud of the diverse and inclusive community we have built, and 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.