Insurance Claims Administrator at MAWDY
Galway, County Galway, Ireland -
Full Time


Start Date

Immediate

Expiry Date

24 Aug, 25

Salary

0.0

Posted On

25 May, 25

Experience

1 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Due Diligence

Industry

Insurance

Description

At MAWDY we’ve grown consistently in recent years to become a market leader in insurance and assistance products. Our objective is to continue this profitable growth by providing the world-class customer service that our clients have come to expect.
Our company is a market leader in providing claims handling services, assistance services and speciality risk products.
We are looking for an enthusiastic, motivated, team driven individual to join our claims department as a Claims Administrator. As a team, and individually, we are expected to meet targets set by the Company to ensure we are providing our clients and customers with a first-class service. The successful candidate for this role will be working on their own initiative, have some autonomy in their role, be involved with liaising with claimants in person, by either phone or written communication.

QUALIFICATIONS:

Any appointment will be conditional on the company being satisfied that the appointee meets the requirements as set out in the Fitness ad Probity Standards issued by the Central Bank of Ireland. This requires the company to complete due diligence to assess the appointee’s fitness and probity.

Responsibilities
  • Review Reimbursement and Medical Claim reserves ensuring accurate reserves are maintained.
  • Issue follow-up letters to policyholders on claims not pursued / updated within a specified timeframe.
  • Log post on operating system.
  • Completing overflow call backs in a timely manner.
  • Explanation of claims handler decisions to request information, settle or decline a claim, arranging escalation where necessary.
  • Registration of new claims, capturing all relevant claims information.
  • Registration of Outpatient Medical Claims.
  • Gather relevant information for complex cases to be reviewed by technical specialist, when required.
  • Ensure all claim payments are processed within 10 working days of acceptance.
  • Completing all administrative and filing duties.
  • Positively contribute to the team’s effectiveness, continuous improvement, and overall success.
    This list is not exhaustive, and some duties may fall outside this scope.
    Hours: 35 hours a week, core business days are Monday to Friday from 9.00am to 5.00pm with a 1-hour unpaid rest period for lunch. These hours may change if required to meet business requirements.
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