Full-Time Income Protection Claims Assessor

Are you an experienced Medical Claims Assessor with Income Protection experience? We are looking for an Individual Income Protection Assessor to join the team in Hove on either a hybrid or homebased basis with a salary of up to £46,000 dependent on experience.

What you'll be doing:

• Gather appropriate evidence and assess information to accept or decline claims, displaying logical reasoning. Consider customer expectations to ensure fair decisions and avoid financial or reputational loss.
• Manage claims from end-to-end, processing within guidelines for quality and consistency, adhering to service standards and processes.
• Handle all aspects of customer communication (calls, letters, emails, appropriate methods for keeping customers informed) to minimize unnecessary contact.
• Liaise professionally and efficiently with internal and external customers and third parties to obtain information, meet customer expectations, and create a positive image.
• Utilize customer-focused language.
• Identify and take ownership of resolving appeals and complaints with urgency to achieve customer satisfaction and escalate root causes.
• Support colleagues with training, mentoring, and development to improve skills.
• Manage contentious or sensitive claims (fraud, litigation, etc.), liaising with managers, GFC, and legal services for effective resolution.
• Maintain consistent, timely, and accurate service levels aligned with service level agreements.

Who we're looking for:

• Experience handling Income Protection claims is desirable; candidates with other protection types will be considered.
• Awareness of Compliance regulations and adherence to them.
• Good medical knowledge and understanding of Underwriting, including New Business process.
• Good understanding of financial calculations for Claims Payment, including state benefits.
• Understanding of Reinsurance process and treaties.
• Empathy and sensitivity.
• Strong communication skills (written and verbal).
• Ability to handle difficult calls when researching claim refusals.

What is the last date for applying to the job?

Which countries are accepted for this remote job?