Jobs · Finance · West Virginia

Claims Relationship Lead

Health Matters (UK) Ltd · Location, WV · 1 mo ago
FinanceFull-time

Overview and key points

If you’re considering a new chapter in your career and would like to work with a people-centric, collaborative, and values-driven business, we have an opportunity for you. We’re looking for positive people with a can-do attitude to join our Partners& family.

Responsibilities

  • Delivering on and demonstrating consistent client claims satisfaction.
  • Delivering on and demonstrating adherence to our claims client journey.
  • Championing our commitment to client appreciation and PACE values.
  • Regular presence across regional trading locations.
  • Actively participate and contribute towards group wide operational projects and support the delivery.
  • Demonstrate an ethos of driving towards continuous improvement.
  • Build & support positive working relationships between all regional teams and stakeholders.
  • Work in keeping with the claims proposition and claims journey.
  • Managing and supporting a regional team of Claims Advisers.
  • Managing a case load of claims as required, including technical and complex claims.
  • Supporting and Managing Key Account Client claims, including attending Client meetings, providing data analysis.
  • Contributing to client tenders in conjunction with trading teams, as required.
  • Providing feedback to our clients on claims trends, working with our risk management proposition to establish better outcomes, where required.
  • Resolving complaints in accordance with business policies and procedures.
  • Reviewing claims put forward by Claims Advisers for escalation and provide support.
  • Collaboration with other regional leads/managers to ensure influx of claims are allocated to maintain service levels and appropriate technical support.
  • Working closely with Kubiq to identify opportunities for collaboration and nomination.
  • Motivating and driving performance of your people
  • Identification of individual training needs
  • Organising training and support to ensure appropriate skill within the team.
  • Adherence to service levels
  • Ensuring elevated levels of technical quality
  • Ensuring that claims are being progressed efficiently and effectively.
  • Undertaking file audits for service and technical quality.
  • Assisting our compliance partners with E & O’s.
  • Utilisation of CXCO client surveys to promote a culture of feedback and learning.
  • Identifying innovation and continuous improvement opportunities.
  • Working with internal and external stakeholders to promote positive relationships.
  • Support the Claims Manager with the recruitment of high performing Claims Advisers in accordance with business needs.
  • Maintain own learning and CPD, ensure Claims Advisers maintain appropriate CPD.
  • Alignment with Partners& values (PACE).

Qualifications

  • Minimum Cert CII (Certificate in Insurance), Dip CII or ACII desirable.
  • Strong working knowledge of claims management and operations.
  • Cutable user of Acturis including reporting functions desirable.
  • An understanding of the claims business environment and business strategy.
  • Working knowledge of service level agreements, customer satisfaction and technical quality.
  • Experience of handling complex claims across various sectors.
  • Skilled at developing internal and external relationships.

Benefits

  • 30 days holiday + bank holidays
  • Generous pension contribution
  • Private Medical Insurance
  • Group Life Assurance
  • Group Income Protection

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