
Insurance Claims Specialist
6 days ago
The role of a Claims Handler is pivotal in delivering exceptional customer experiences through high-quality, compliant, and efficient claims handling. This position collaborates closely with the Claims Leadership team to drive business objectives.
- Key Responsibilities:
- Deliver accurate information to customers regarding their eligibility, cover/benefits, and terms and conditions, as well as provide guidance on the claims process.
- Ensure that all provided information to customers and third parties is correct, clear, complete, and up-to-date.
- Support a 'can-do culture' where priorities are driven by customer needs.
- Process incoming correspondence and documentation effectively and efficiently within service level agreements and in accordance with relevant regulations.
This role also involves proactively reviewing claims to identify opportunities for progress and collaborating with relevant parties accordingly. Additionally, it requires working closely with service providers to ensure fair and efficient investigation and evaluation of liability and damage.
Required Skills and Qualifications- Qualification: APA qualified or grandfathered in the specified function as per MCC requirements.
- Aptitude for learning and taking exams successfully, with ease of progression to CIP qualification.
- Two years' experience handling similar type claims in an insurer or MGA.
The ideal candidate will possess a comprehensive understanding of the Consumer Protection Code and Minimum Competency standards, as well as knowledge of specific General Insurance Broker and Provider/Promoter processes and business models.
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