Senior Claims Assessor

at  PPS Recruitment

JOB ADVERT SUMMARY

This role reports to the Team Manager Claims. Responsible for assessment and processing of short-term Sickness, Critical Illness and death claims. Quality assurance and authorization of claims for Junior and Intermediate claims assessors. Facilitate complex claims discussions within the team, conduct training and coaching to the team and do claims presentations when required. Assist team manager with daily queue management and reporting. The incumbent will deal with technical and complex claims queries and/or complaints providing an excellent service offering.

EDUCATION:

• Medical qualification compulsory (Nursing, Occupational Therapy and Physiotherapy or related)

EXPERIENCE:

• 5 years’ experience in the insurance industry.
• 3 years’ experience in claims assessment including Income protection, Lump Sum Disability and dread disease.

KNOWLEDGE AND SKILLS:

• Fluent in English both written and verbal.
• Must have excellent telephone etiquette.
• Good computer knowledge - MS Outlook, Excel and Word are necessary.
• Good report writing and presentation skills.
• Must have a mature, disciplined and driven personality.
• Ability to work independently as well as being a good team-player with excellent interpersonal skills.
• Attention to detail.
• Deadline/target driven, with ability to work under pressure.
• Logical and analytical.
• Effective time management skills.