My client who are based near Camberley are looking for a Claims Executive to join their team. We are looking for candidates who have got strong organisational skills and is able to work in a busy environment. You will have strong communication skills and will be able to build strong working relationships with clients over the phone. My client operate on a shift pattern therefore we are looking for candidates who are flexible.
The department is responsible for managing customers medical and travel claims, proactively contacting members, responding to enquires, loading and processing claims and payments, providing assistance, pre-authorisation and communicating coverage.
Provide reassurance, empathy and care in all interactions.
Maintain professionalism, whilst ensuring that plan terms and conditions are adhered to and all communication is timely and jargon free.
Whilst providing excellent customer experience and ensuring a seamless delivery, guide customers through the claims process, preauthorise, adjudicate and advise on claims coverage.
Ensure claims are accurately processed in the system as per terms and conditions.
Ensure all communication with customers is accurate and correctly represents my client
Adhere to departmental and company rules and all relevant legislation (FCA & DPA).
Work within authority limits and achieve agreed KPIs and targets.
Evidence cost savings and increase in new product uptake.
Review costs and obtain discounts or challenge where appropriate.
Undertake continuous training and highlight where required.
Liaise and actively engage with various international and local departments ensuring that all communication is an excellent representation of the department, whilst developing excellent working relationships.
Additional responsibilities as determined by business and departmental needs.
Previous experience and essential skills
Ability to speak a second language is desirable.
Experience of International private medical insurance is desirable but not essential.
All round excellent communication skills (empathy, rapport building, influencing, negotiation) including ability to manage challenging communication, achieving desired result.
Works well under pressure with excellent prioritisation skills.
Consistently achieves targets in quality and productivity of work.
Confident in computer systems as well as the ability to pick up new systems quickly.
Reliable in attendance, quality and quantity of work, attitude and versatility.
Solution and target driven with a positive approach to clearing work and achieving results.
A good team player, builds strong local and remote relationships.
The claims team work a 35-hour week but operate from 6 am to 6 pm on shift pattern Monday to Friday.
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