
Tpa Claims Handler
1 day ago
The role of the TPA Claims Handler is to provide a quality service to the customers of leading 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, S.L.A's, Procedures and Process-improvement.
The team member will also be expected to provide effective cover and assistance to the Team Leader.
**Specific responsibilities (including but not limited to)** Provide effective and accurate advice to claimants based on a strong working knowledge of policy terms and conditionsEnsuring that you achieve the minimum insurance standard qualification within the time frame and comply with CPD requirements where appropriate**Qualifications/skills** Minimum competency requirements APA PL or CIP Qualification desirableHigh level of proficiency in Word, Excel, and PowerPointSound numeric skills High level interpersonal and communication (verbal/written) skills**Personal attributes** Sound knowledge of Sedgwick and its operation as a company (desirable but not essential) Have a full working knowledge of CPC & Central Bank of Ireland Regulatory Requirements Understand how to organise work and think through how to get things done most efficiently with the ability to perform on their own initiativeFocus on skills development.
Take action to improve own and others' job skillsMust have strong interpersonal and communication skills and be self-motivated, flexible and capable of working to critical deadlines**Benefits of working for Sedgwick in Ireland** Health Insurance Scheme PHI – Permanent Health Insurance ed function (CF5, CF6) and is subject to Fitness and Probity Standards, including the requirements outlined in the Individual Accountability Framework Act 2023.
Successful candidates will receive training in relation to all regulatory requirements applicable to them.
Sedgwick Ireland is regulated by the Central Bank of Ireland (CBI).
This role is subject to the Minimum Competency Code (MCC) as set out by the CBI.
This code sets out the minimum professional standard for any person providing certain financial services, in particular when dealing with consumers.
This role is classified as a Controll## Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected.
The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.
With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
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