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Job Title: Inbound Claims Advisor

Key Areas of Responsibility

· Answering inbound claims calls via Telephone or Email

· Accurate Data entry and reconciliation

· Dealing with queries over the phone and logging all query's on approved system

· Escalate any queries which cannot be resolved and assign to appropriate Product Specialist

· Resolving internal e-mail queries

· Ensuring service standards are met or exceeded

· Resolving over the phone any outstanding or serious complaints

· Processing claims

· Processing all claims received and logging on approved system

· Liaising with members and health providers by telephone, e-mail and letter to ensure all relevant data and material is received in order to process the claim appropriately

· Make decisions with regard to cover

· Processing of tax forms

· Assisting with admin tasks including photocopying, scanning and filing

Qualifications:

• Insurance knowledge


• Insurance related qualification (completed or with a view to pursue)

Experience

• Previous Clerical experience required.

Personal Attributes required:

· Excellent decision making ability

· Excellent problem solving ability

· Excellent organisational skills with the ability to prioritise work as well as work to targets

· Excellent communication and inter-personal skills

· High attention to detail