Claims Handler

2 weeks ago


Dublin, Dublin City, Ireland TN Ireland Full time

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Claims Handler - Offshore TPA Claims, Dublin

Client: Sedgwick

Location: Dublin, Ireland

Job Category: Other

EU work permit required: Yes

Job Reference:

673d9e0c3d4a

Job Views:

3

Posted:

19.04.2025

Expiry Date:

03.06.2025

Job Description:

The role of the Offshore TPA Claims Handler is to provide a quality service to Sedgwick International customers/Insurers, which meets or exceeds the Insurer's expectations and generates the revenue to meet the demands of both Sedgwick's and the Insurer's businesses. The Claims Handler will be expected to deliver and perform day-to-day tasks pertinent to the team's activity with a major focus on Quality, Accuracy, SLAs, Procedures, and Process-improvement. The team member will also be expected to provide effective cover and assistance to the Team Leader.

Specific responsibilities:

  1. TPA Team takes full ownership of claim Process for our Clients – FNOL to Claim Payment
  2. TPA Team also has different lines of business for our Clients which will be handled by the team
  3. Responsible for management of assigned desktop claims & delivery of target
  4. Provide effective and accurate advice to claimants based on a strong working knowledge of policy terms and conditions
  5. Review allocated cases and achieve settlement, within designated personal authority level, in line with established standards, procedures, and guidance provided
  6. Manage customer interactions in an efficient, courteous and timely manner in order to deliver high standards of customer satisfaction
  7. Interact with customers directly and liaise with Insurer representatives to ensure the highest level of service and continuous operational efficiency
  8. Reviewing Loss Adjusters Reports, Referrals / Correspondence on Managed Accounts
  9. Authorisation of Payment with authority level
  10. Provide assistance where required in the training of new Team Members
  11. Maintain and update Personal Development Portfolio
  12. Ensuring that you achieve the minimum insurance standard qualification within the time frame and comply with CPD requirements where appropriate
  13. Successfully contribute to the development and delivery of the Team's Goals, Objectives and Results

Qualifications/skills:

  1. Minimum competency requirements APA or CIP Qualification desirable
  2. High level of proficiency in Word, Excel, and PowerPoint
  3. Sound numeric skills
  4. High level interpersonal and communication (verbal/written) skills

Benefits Of Working For Sedgwick In Ireland:

  1. Professional and personal development opportunities
  2. Sedgwick Training Academy courses
  3. Health Insurance Scheme
  4. Tax Saver Travel Scheme
  5. Sedgwick's Sports & Social Club
  6. On-Site Gym
  7. Montessori & After School Care
  8. Discount Benefits
  9. PHI and Life Cover

Sedgwick is an Equal Opportunity Employer.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.

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