Group claims assessor

Job Description: Group Claims Assessor

Are you an experienced claims assessor with a passion for excellent customer service and a commitment to supporting vulnerable customers? Join us in making a positive impact on our policyholders and members.

Role Overview: As a Group Claims Assessor, you will make fair and balanced claims decisions in line with industry guidelines and our Life philosophy. You'll handle a range of products, including Life, Death in Service Pensions, Critical Illness, and Income Protection. Timely and quality decision-making using appropriate evidence is essential.

Responsibilities:

• Assess Group Protection claims, focusing on Income Protection and Critical Illness.
• Use sound decision-making skills, managing risks and escalating when necessary.
• Communicate with employers, members, clients, doctors, service providers, intermediaries, reinsurers, and FOS to:
  • Obtain additional claim information
  • Explain claim requirements and decisions
  • Resolve appeals and complaints
• Build and maintain relationships with intermediaries and service providers.
• Suggest and implement improvements to the claims process.
• Collaborate with other departments (Individual Claim Assessors, Underwriting, Actuarial, Client Services, Sales) to develop a comprehensive understanding of the business and contribute to best practices.
• Provide training, coaching, and support to less experienced team members and Client Services.

What We're Looking For:

• Proven experience in assessing Group Protection claims, especially Income Protection.
• Decision-making skills and the ability to manage and escalate risks.
• Excellent communication skills for interacting with various stakeholders.
• Innovative mindset to contribute to continuous improvement.
• Team player willing to provide training and support to colleagues.