Claims Assessor Specialist

Team Claims

Working Pattern -Home working however may be required to go into a Vitality location ad hoc (Stockport Bournemouth or London)

Key skills required for this role:

• Medical & Claims Assessment Expertise
• HighLevel Communication Skills (Written & Verbal)

As a Claims Assessor Specialist you will be responsible for assessing Life Cover Terminal Illness and Critical Illness claims in line with current UK industry best addition to your assessment duties you will play an active role in supporting and developing other assessors through coaching mentoring and training.

Although this role is primarily homebased there may be occasions when you are required to attend the office.

Responsibilities

• Assess the validity of submitted claims ensuring all decisions are made in accordance with industryleading UK claims practices. This includes reviewing medical and supporting evidence obtaining further information where required and drafting and issuing clear accurate decision letters and related correspondence.
• Identify potential concerns such as fraud nondisclosure misrepresentation or preexisting conditions.
• Collaborate with strategic underwriters management reinsurers and other key stakeholders to ensure fair timely and accurate claim outcomes.
• Provide mentoring and coaching to junior team members which may include facilitating case study sessions delivering training on specialist topics and supporting their technical development.
• Assist in complaint resolution ensuring thorough investigation and professional communication throughout the process.

Essential Skills & Experience

• Experience assessing and managing Life Cover and tiered Critical Illness claims.
• Strong understanding of the UK insurance market and regulatory environment.
• Proven experience working with reinsurers.
• Ability to present ideas confidently and deliver training to peers.
• Advanced verbal and written communication skills.
• Intermediate proficiency in Microsoft Word Excel PowerPoint and other common Office applications.
• CII Claims qualification.

Vitality is an award-winning dynamic and vibrant financial services provider with a ground-breaking vision for the future where individuals are enabled to succeed and are rewarded and recognised for their contribution to our business. Were the UK insurer and investment provider that rewards people for positive lifestyle choices a key element of our Shared-value model. With 1.4m UK members and more than 25m globally were out to make the world a healthier happier place. This applies as much to our people as it does to our members. #LI-Remote

Working for Vitality youll experience an exciting mix of creativity and innovation within a framework of challenging objectives and a passion for delivering the best. We think work should be fun and sociable and we want our people to get the most out of every day. Our people are chosen for their skills knowledge enthusiasm and attitude but above all their belief that anything can be achieved. Wherever possible we will consider a variety of working options to suit your lifestyle whether that behybrid home/office working flexible working and part or full time employment. Its what we call offering shared values because a healthy happy team is good for us good for our members and good for you.

If you have any questions please contact:emailprotected.