Claims Complaints Specialist — Growth, Equity & Benefits

ClaimSorted; United States; Remote; USD 56,000 - 83,000; Full time

Benefits offered by this job

Health insurance

Pension contributions

28 Days Annual Leave (UK)

Equity participation: stock options

Accelerated promotion track

Job summary

ClaimSorted is seeking an experienced Complaints Specialist to join our Technical Claims Support Team in the UK or Ireland. You will own investigations of insurance complaints from receipt to resolution, draft clear evidence-based responses, and coordinate with insurers and regulatory bodies to meet deadlines.

The role requires APA or CIP qualifications, 2+ years of relevant experience, and strong attention to detail.

Qualifications

• Based in the UK or Ireland with work authorisation.
• Minimum 2 years’ experience handling insurance complaints.
• Must be APA or CIP qualified.
• Strong knowledge of insurance claims handling and complaint investigation.
• Experience investigating complex claims and reaching evidence-based conclusions.
• Excellent attention to detail and ability to manage multiple deadlines.

Responsibilities

• Own and investigate insurance complaints from receipt through to resolution.
• Prepare clear, accurate and evidence-based written complaint responses.
• Investigate and respond to regulatory bodies and Ombudsman requests.
• Maintain oversight of complaint and regulatory deadlines for reviews.
• Collaborate with insurance carriers and partners on complaints requiring input.
• Maintain complete complaint records and supporting evidence.
• Perform root-cause analysis and suggest improvements to processes.
• Provide feedback to Claims Handlers on quality or knowledge gaps.
• Stay knowledgeable on relevant insurance complaint-handling requirements.
• Support development of complaint procedures, templates and internal guidance.
• Work with Claims Operations and the wider Technical Claims Support Team.

Skills

Insurance complaints exp

APA/CIP certified

Job description

ClaimSorted is seeking an experienced Complaints Specialist to join our Technical Claims Support Team in the UK or Ireland. You will own investigations of insurance complaints from receipt to resolution, draft clear evidence-based responses, and coordinate with insurers and regulatory bodies to meet deadlines.

The role requires APA or CIP qualifications, 2+ years of relevant experience, and strong attention to detail.