By joining Sedgwick, you’ll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
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TPA Claims Handler

QUALIFICATIONS/SKILLS

• Minimum competency requirements APA PL or CIP Qualification desirable
• High level of proficiency in Word, Excel, and PowerPoint
• Sound numeric skills
• High level interpersonal and communication (verbal/written) skills

KEY ROLES

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)

• TPA Team takes full ownership of claim Process for our Clients – FNOL to Claim Payment
• TPA Team also have different lines of business for our Clients which will be handled by the team
• Responsible for management of assigned desktop claims & delivery of target
• Provide effective and accurate advice to claimants based on a strong working knowledge of policy terms and conditions
• Review allocated cases and achieve settlement, within designated personal authority level, in line with established standards, procedures and guidance provided
• Manage customer interactions in an efficient, courteous and timely manner in order to deliver high standards of customer satisfaction
• Interact with customers directly and liaise with Insurer representatives to ensure the highest level of service and continuous operational efficiency
• Reviewing Loss Adjusters Reports, Referrals / Correspondence on Managed Accounts
• Authorisation of Payment with authority level
• Provide assistance where required in the training of new Team Members
• Maintain and update Personal Development Portfolio
• Ensuring that you achieve the minimum insurance standard qualification within the time frame and comply with CPD requirements where appropriate
• Successfully contribute to the development and delivery of the Team’s Goals, Objectives and Results
• Daily handling of a High-net-worth client, providing a concierge service, FNOL to completion on all claims and queries under this scheme. This High Net Worth covers a number if different business line – property, cyber, motor, HE travel with possibilities of additional lines to be added. Dealing with insurer directly and managing the portfolio .