Operations & Claims Specialist

Crédit Agricole Group; Ireland; On-site; EUR 38,000 - 60,000; Full time

Job summary

Crédit Agricole Group Ireland seeks a claims operations specialist to efficiently investigate and process claims, validate medical subscriptions, and provide business support across the team. You will assess and process PPI claims, coordinate with TPA partners, handle customer calls, monitor weekly reports, and contribute to continuous improvements while upholding quality standards.

This role requires meticulous attention to detail, strong communication with Dublin staff, and capacity to train

Qualifications

• Investigative diligence and accuracy in processing claims
• Strong customer service orientation for inbound/outbound calls
• Ability to coordinate with internal teams and external partners

Responsibilities

• Duties include investigating and processing claims and validating medical subscriptions, and delivering business support for the team
• Assess and process claims within the PPI portfolio according to policy terms and conditions
• Process and decide claims delegated by TPA for all businesses and confirm approvals to TPA
• Provide customer service for inbound and outbound calls
• Review monthly partner reports for accuracy and completeness
• Review claims transfer forms and sign off on a monthly/weekly basis
• Suggest process improvements to enhance claim processing and settlement
• Report on productivity to Team Leader/Manager
• Support Operations with ad hoc tasks and documentation
• Maintain internal quality levels above 95% monthly
• Administer medical subscriptions input and validation following underwriting recommendations
• Ensure clear communication between Dublin staff, TPAs, and medical underwriters for timely decisions
• Assist in complaints management when needed and uphold procedures
• Assist in creating/updating procedures for new/existing business and train staff
• Maintain regular and ad hoc reports for leadership
• Take on additional projects as assigned by Team Leader or Operations Manager

Job description

Crédit Agricole Group Ireland seeks a claims operations specialist to efficiently investigate and process claims, validate medical subscriptions, and provide business support across the team. You will assess and process PPI claims, coordinate with TPA partners, handle customer calls, monitor weekly reports, and contribute to continuous improvements while upholding quality standards.

This role requires meticulous attention to detail, strong communication with Dublin staff, and capacity to train