Job Summary:

• Deliver exceptional customer service experience to all members, including via telephone
• Assess and process items which also (including claims and membership applications)
• Recommend and authorise claims decisions within agreed authority limits
• Assist with ongoing improvements to the processes and procedures within the business unit
• Assess hospital and medical claims
• Coach providers through customer contact for incorrect billing practices
• Identify inappropriate claims and provide effective solutions
• Maintain templates, procedures, and protocols respective to compliance requirements, ensuring all processes are clearly documented
• Identify control gaps in existing processes and recommend improvements
• Work in conjunction with the Claims Consultancy Leader to deliver high-quality and consistent project output which meets client/project objectives and is delivered on time.
• Work closely with internal stakeholders to ensure all tasks relating to Consultancy work are dealt with promptly and with accuracy

Skills on Resume: 

• Exceptional Customer Service (Soft Skills)
• Claims Processing (Hard Skills)
• Claims Decision Making (Hard Skills)
• Process Improvement (Hard Skills)
• Claims Assessment (Hard Skills)
• Provider Coaching (Soft Skills)
• Problem Solving (Hard Skills)
• Compliance and Documentation (Hard Skills)

Job Summary:

• Manage a portfolio of settlements files
• Assess liability and settlement outcomes
• Expertly negotiate with third parties, insurers, solicitors and representatives
• Resolve complex settlement claims
• Manage relationships with panel of legal supplies
• Follow settlement methodology ensuring company procedures and relevant legislation is adhered to
• Consult with external solicitors on claims requiring defence or settlement offers
• Utilise careful preparation, high levels of attention to detail and sound judgement to make decisions on claims settlements within delegation of authority
• Manage medical claims from end to end, including all steps, taking responsibility for all customer communication.
• Process claims within claims guidelines.
• Deal with all aspects of customer communication by taking and making calls, dealing with letters and emails.

Skills on Resume: 

• Claims Management (Hard Skills)
• Negotiation Skills (Hard Skills)
• Legal and Regulatory Knowledge (Hard Skills)
• Attention to Detail (Hard Skills)
• Communication Skills (Soft Skills)
• Decision Making (Hard Skills)
• Customer Service (Soft Skills)
• Organizational Skills (Hard Skills)

Job Summary:

• Independently manage a portfolio of life insurance claims end-to-end
• Assess, analyze, calculate and finalize claims payments
• Active engagement of -external treating doctors, rehabilitation consultants as well as in house medical and legal specialists and delivering timely outcomes for customers
• Provide exceptional customer service in accordance with philosophy, policy and claims procedures
• Participate in case conferences, peer case discussions, and instructing third-party service providers
• Setting up a (new) project administration system
• Designing and/or improving contracts
• Managing a contract during a project
• Drafting of and/or responding to claims during and after the project
• Assisting the client during contract negotiations
• Assisting and advising the client in the preparation of a lawsuit or an arbitration

Skills on Resume: 

• Claims Management (Hard Skills)
• Stakeholder Engagement (Soft Skills)
• Customer Service (Soft Skills)
• Case Management (Hard Skills)
• Project Administration (Hard Skills)
• Contract Management (Hard Skills)
• Legal Documentation (Hard Skills)
• Problem Solving and Negotiation (Hard Skills)

Job Summary:

• Responsibility and facilitation of the claims management function for Commercial Motor claims
• Negotiate with clients and claims providers
• Manage the incoming and outgoing communication to internal and external stakeholders
• Ongoing maintenance and development of relationships with insurers and claims service providers
• Assist with live project claims on major and international engineering projects
• Assist in the management of contract termination
• Cost and Damages analysis
• Dispute resolution and mediation assistance
• Working on claim submissions and claim defence on behalf of clients and senior staff members
• Attend client meetings with the claims manager
• Managing a case load of complex claims
• Modelling, promoting, encouraging, up-skilling and coaching team members to provide an exceptional customer experience

Skills on Resume: 

• Claims Management (Hard Skills)
• Negotiation Skills (Hard Skills)
• Communication Management (Hard Skills)
• Relationship Building (Hard Skills)
• Project Management (Hard Skills)
• Contract Management (Hard Skills)
• Analytical Skills (Hard Skills)
• Dispute Resolution (Hard Skills)
• Leadership and Coaching (Soft Skills)

Job Summary:

• Work with Home Builders Warranty claims end to end with adherence to HBCF service standards, company guidelines, delegated authority and SLA’s
• Providing best practice customer service to deliver superior outcomes for both homeowners and HBCF
• Work with the team by sharing information, knowledge, and resources to achieve best possible outcomes for all Settling claims within client service instructions, company guidelines and delegated authority
• Building and developing external business relationships
• Attending client meetings where applicable
• Achieve monthly productivity level as designated by management
• Comply with relevant legislation such as The General Insurance Code of Practice, and other relevant legislation / regulations and policy requirements
• Resolve complaints in accordance with company guidelines
• Identify potential fraud/recovery indicators for claims
• Provide guidance to Case Consultants in resolving complaints/escalations fairly and quickly
• Assisting the Lead Case Consultant with authorisations

Skills on Resume: 

• Home Builders Warranty Claims Management (Hard Skills)
• Customer Service Excellence (Soft Skills)
• Team Collaboration (Soft Skills)
• Claims Settlement (Hard Skills)
• Business Relationship Building (Soft Skills)
• Client Meeting Participation (Hard Skills)
• Productivity Management (Hard Skills)
• Compliance and Regulatory Knowledge (Hard Skills)

Job Summary:

• Analyzing claims made by clients and determining coverage under relevant legal protection products.
• Work with Litigation Consultants and Litigation Managers to drive proactive management of employment claims including recommending settlements on behalf of the Company or on behalf of the Group's Insurer.
• Reviewing tribunal papers against logs of advice given to respondents.
• Liaising with clients based in to explain coverage decisions, while making sure that receive fair treatment and excellent customer service.
• Monitoring the progress of claims and ensuring prompt settlement (of valid claims) and closure of claims.
• Ensure that all claims-related intelligence is recorded accurately.
• Liaising with Peninsula's office in Northern Ireland and Republic of Ireland on the process of claims.
• Implement and maintain a high-performance culture by assisting Case Consultants to be accountable for productivity and output, and to demonstrate a results focussed approach
• Enhance the reputation of the team by establishing trusting relationships with peers, customers and all stakeholders
• Contribute to the achievement of the team’s financial and other targets by using techniques and tools to manage and advocate for change.

Skills on Resume: 

• Legal Analysis and Interpretation (Hard Skills)
• Litigation Management (Hard Skills)
• Tribunal Review and Compliance (Hard Skills)
• Customer Service and Communication (Soft Skills)
• Claims Management (Hard Skills)
• Documentation and Record Keeping (Hard Skills)
• Cross-Office Coordination (Soft Skills)
• Leadership and Performance Management (Soft Skills)