Claims & Fraud Expert

This is a very exciting opportunity to join a well established business with plenty of opportunities to build on your skills & your career! This business truly put the needs of their customers first, that’s why we need people who are naturally inquisitive and can ask the right questions. This varied role will be part of our clients Claims & Fraud team, responsible for handling phone calls & emails with Admin on the side! This role is fully remote so you must have a suitable working space due to sensitivity of calls you will be taking.

Your job is to assess claims efficiently and fairly to ensure that legitimate claims covered by the customers policy are processed with minimum delay. To ensure that in the event of a denial that all evidence is clearly recorded, and the customer understands the reasons for the denial.

The business are open 7 days a week between the hours 09:00 – 17:30 Monday - Friday with rotational weekend, only 1.5 times a month!

Duties:

Ensure that customers are always treated fairly and in accordance with the core company values
Assess claims that have been escalated for adjudication, against agreed business rules and using a range of tools.
Record evidence and decision making, within the tools provided, which supports an adjudication decision.
Hold investigation conversations with customers to clarify information as necessary prior to approving or denying a claim.
Contact customers primarily by telephone, but also by email and letter, to communicate a denial and give clear reasons.
Experience:

You must have previous experience of working within Claims Investigation and Insurance
Experience in Financial Services Industry (Insurance) (Preferred)
Lots of experience speaking with customers regularly on the phone
Good investigation skills and excellent attention to detail
Strong Microsoft application skills (Excel, Word etc.)
Excellent Communication skills (verbal / written)