Claims & Subscriptions Operations Lead

Crédit Agricole Group; Leinster; On-site; EUR 35,000 - 55,000; Full time

Job summary

Crédit Agricole Group in Ireland seeks a Claims and Operations Assistant to efficiently investigate and process claims, and validate medical subscriptions, implementing streamlined processes within the team.

You will handle customer calls, check monthly partner reports, support complaints management, and contribute to ongoing procedure improvements while maintaining an internal quality level above 95%. Strong communication and accuracy are essential.

Responsibilities

• Assess and process claims within the PPI portfolio according to relevant policy terms and conditions
• Process and decision claims over the delegation for all businesses based on recommendation received from TPA and according to the relevant policy terms and conditions. Confirm approval to TPA
• Provide customer service for inbound and outbound calls
• Check monthly reporting per partner for its accuracy and completeness
• Check Claims transfer request forms and sign off monthly/weekly confirming accuracy
• Propose process improvements to the processing investigation and settlement of claims
• Report on productivity to Team Leader/Manager
• Provide business support where required in Operations area
• Maintain an individual internal quality level > 95% on a monthly basis
• To administer subscriptions input and validation following recommendation from medical underwriters
• To ensure proper communication between the team staff in the Dublin office, the local TPAs, and medical underwriters to ensure timely decisions are communicated to the partners following service standards
• To assist in the management and reporting of Complaints when complaints analyst is out of the office or if needed
• To ensure and follow the complaints procedure associated
• Assist in creating and updating claims, subscriptions procedures as and when necessary, for new and existing business
• Assist the Team Leader in ensuring that all business documentation for the department is up to date, filed and archived
• Present suggestions for reviewing and updating procedures to Team Leader and implement, coordinate, and monitor any upgrades to procedures as they are signed off
• Provide training both internal & external
• Maintain various regular and ad hoc reports and provide to your Team Leader
• Perform other work or projects as and when selected by the Team Leader or Operations Manager

Job description

Crédit Agricole Group in Ireland seeks a Claims and Operations Assistant to efficiently investigate and process claims, and validate medical subscriptions, implementing streamlined processes within the team.

You will handle customer calls, check monthly partner reports, support complaints management, and contribute to ongoing procedure improvements while maintaining an internal quality level above 95%. Strong communication and accuracy are essential.