Claims Assessment Specialist

3 days ago


Dublin, Dublin City, Ireland Sedgwick Claims Management Services Ltd Full time

Sedgwick Claims Management Services Ltd is a leading provider of technology-enabled risk, benefits and integrated business solutions.

Job Description

The role of the Travel Claims Assessor is to ensure that claims are managed and assessed in a professional manner, in compliance with client and regulatory requirements.

  • Key Responsibilities:
  1. Technical excellence including strict application of client policy wordings;
  2. Compliance with Service Level Agreements (SLA);
  3. Supporting Team Leader with the technical development of colleagues;
  4. Effective communication with claimants.

Core Tasks:

  • On-going management of the "Work Action" Log in order to identify and prioritise own workload;
  • Assessment of Travel Claims, in accordance with CPC/FSA Guidelines, Client Policy Wordings / Technical Requirements and SLAs;
  • Ensure for own allocated claims that files & claim records are maintained in a professional, and accurate manner;
  • Accurate and timely processing of any claim payments;
  • Performance of role in accordance with own Claims Handling Licence; with timely referral to Team Leader where decision falls outside of personal Claims Licence;
  • Identification of Fraud, Recoveries and Complaints at earliest possibility, with referral to appropriate Colleague; All Complaints to be referred to Team Leader immediately upon receipt;
  • Clear communication within Team and with Claimant;
  • Provide support to Team Leader in the technical development of colleagues (as required);
  • Actively support Team Leader and Colleagues in the provision of excellent service to both Claimants and Clients, including but not limited to identification of potential operational improvements.
Required Skills and Qualifications
  • Good knowledge of Travel Insurance Products and Policy Wordings;
  • Good knowledge of the Claim Life Cycle;
  • Good analytical and numeracy skills;
  • Excellent attention to detail with a focus on accuracy;
  • IT Literate with good knowledge of Word, Excel and Notes;
  • Excellent communication and interpersonal skills;
  • Able to work independently and demonstrate personal initiative & innovation.
Benefits
  • Education Contribution;
  • Colleague Referral Bonus Incentive;
  • Career development and progression;
  • Tax Saver Travel Scheme;
  • Employee Assistance Programme;
  • Bike to Work Scheme;
  • Discounted Gym Membership;
  • Subsidised canteen;
  • PHI and Life Cover.


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