International Private Medical Insurance Claims Assessor Esher, England
Job description
We are recruiting an International Private Medical Insurance (IPMI) Claims Assessor to joint our International Assistance team based in Esher.
Reporting to the IPMI Team Leader the Claims Assessor will assess and co-ordinate the members claim from initial call and throughout for a variety of international private medical insurance companies. The Claims Assessor manages all incoming correspondence and telephone calls relating to claims, whilst liaising with the members, underwriters and medical providers, ensuring that all parties have the relevant information, and the patient receives appropriate medical information and access to required medical services, lodging guarantee of payments, reimbursements and general benefit / coverage queries.
Key activities/main duties will include:
- Assess all claim submissions.
- Understand and apply knowledge of multiple clients and schemes.
- Request all appropriate and necessary documentation in order to assess the claim, or to allow for the underwriter to be able to assess the claim.
- Ensure all documents are correctly allocated on Case Management System
- Create and approves invoices, for certain clients, ensuring smooth transfer to Finance department for payment.
- Manage incoming correspondence and allocate correspondence to relevant cases and ensure follow-up action is taken.
- Answer incoming calls promptly and within SLAs, providing the highest level of customer service at all times.
- Handle all claims complaints, escalating to T&Q or Underwriter as required.
- Referral of claims over Delegated Authority (varies per scheme) and contentious claims to underwriters.
- Utilise the correct resources and provide the most appropriate and cost effective solutions in line with company and client policies and procedures.
What we are looking for:
- Previous claims assessor experience required.
- Previous experience working in a customer service role desired.
- Excellent written and verbal communication skills with excellent attention to detail.
- Organised, methodical and thorough approach to work.
- Knowledge and experience of working within the travel insurance arena desired.
- Shows initiative with a positive, can-do and flexible approach to all tasks.
- The ability to build positive relationships with their team, managers, clients and peers.
- The ability to communicate professionally, accurately, and effectively via all methods of communication.
- The ability to be responsive and empathetic to the needs of others.
- The ability to communicate professionally, employing excellent listening skills.
About Healix
Healix is a leading provider of global medical assistance and healthcare solutions. We have a large and varied client base which includes multinational corporations, travel insurance companies, charities, airlines, government and military departments.
What we offer
We offer welcoming, friendly and supportive working environment. At Healix, we truly believe that ‘our people’ are at the heart of our success; employees are treated with dignity and respect and are always encouraged to reach their full potential.
We welcome applications from individuals of all backgrounds and characteristics. If you require any support in accessing this opportunity, please do get in touch
‘I enjoy working at Healix as we are small enough for everyone to know each other and big enough to meet my career aspirations; There are plenty of opportunities for development’ Luke, joined in 2018
Company Benefits include
- Competitive annual salary
- 5 weeks annual leave (or equivalent in hours) in addition to public holidays
- Pension scheme
- Healix Group Healthcare
- 4 times Life Assurance
- Local Shop discounts
- Shower facilities
- Free local parking
The Healix culture is warm and friendly, we are proud of our working environment and our loyal and dedicated employees.
We look forward to receiving your application. If you have any questions about the role, please email [email protected]
