Claims Administrator

Description

Key Responsibilities

• Engage with diverse individuals globally.
• Ensure accurate information reaches the appropriate individuals. You should be confident in written, virtual, and team communication.
• Feel empowered to voice your ideas that enhance best practices.

• Transfer information across various databases/portals/platforms.
• Review data for inconsistencies or missing information.
• Accurately input raw data into spreadsheets, documents, or databases.
• Cleanse data within the CRM system using exception reporting.
• Perform manual policy checks on various client portals where no automated process is available.

• Assist UK colleagues in managing the claims lifecycle using predefined templates and proactively engage with customers via email to advance their claims.
• Securely issue payments to policyholders for settlements.
• Review customer documentation to determine policy coverage, request further substantiation, or decline the claim.
• Review claims on third-party client systems and transfer relevant data onto our in-house claims system to advance the customer’s claim.
• Perform manual policy checks on various client portals where no automated process is available.
• Review existing claims, set up new claims, and update claims on internal systems.
• Monitor various real-time system dashboards and take appropriate action to advance a claim within agreed SLA’s.

• Audit claim files in line with Company and client requirements.
• Have a good understanding of regulatory procedures related to call taking.
• Audit telephony calls and associated file activity in line with Company and client requirements.
• Work as a team to ensure audits are completed to deadlines.

• Bring a professional and friendly approach to work.
• Enjoy working as a team and appreciate everyone’s value and contribution.
• A minimum qualification of 10+2 or equivalent in Maths and English is required.
• Excellent computer literacy with fast and accurate keyboard skills.
• Proficient in the use of all Microsoft applications.
• Able to work under pressure in a fast-paced environment.
• The ability to organise and prioritise your own workload.
• Good accuracy and attention to detail.

About Davies