Claims Administrator
Job Type : Permanent, Full Time
Salary : £19000/annum Private Medical, Paid Leave Pension
Claims Administrator
Up to £19,000
Poole
Are you an experienced Claims Administrator? This is a great opportunity to work with a leading Private Medical Insurance company in a friendly family atmosphere.
The role of the Claims Administrator is to work alongside the Claims Assessors, Medical Advisor and Claims Manager giving support in administration duties. The Claims Administrator will also be making telephone contact with providers, medical personnel and claimants so an excellent telephone manner is essential.
KEY RESPONSIBILITIES
• Log Post daily and match up correspondence received with the appropriate claim file.
• Maintain post log and provide Claims Team Leader & Manager with monthly printout of log detailing type/quantity of correspondence received.
• Process payments through the claims system once the invoice has been authorised by the Claims Assessor.
• Set up Claims files when claim forms received.
• Set up Medical Notes files when GP notes received from surgeries.
• Liaise via telephone, letter, fax email with GP surgery to request Medical Records and chase up non-receipt.
• Liaise with hospital providers and consultant secretaries in relation to clinic letters, invoices and payments.
• Liaise with AXA to confirm consultant’s category, sending invoices to AXA for processing, updating authorization codes in clapa and sending authorization letters to policy holder.
• Ensure that the GDPR and Data Protection Act are always upheld.
• Ensure all notes are completed and maintained on the system in a timely manner.
• Escalate any suspicions of fraudulent activity to the Claims Manager.
• Promote the best image for the company through the professional appearance and behaviour and adhere to company standards and procedures.
• Assist/deal with ad-hoc projects as required by Claims Team Leader & Manager.
EDUCATION, EXPERIENCE & PERSONAL CHARACTERISTICS Claims Administrator
• Good standard of education with excellent written and oral communication skills.
• Well organised and able to work on own with minimal supervision.
• Uses methodical organised approach to work and has ability to multi-task, identify and respond to changing priorities.
• Maintains a professional, friendly telephone manner at all times and can remain professional in stressful situations.
• Ability to explain concepts simply and unambiguously.
• Computer literate and proficient in the use of the Microsoft Office suite to an intermediate level.
• Able to respond to team objectives.
• Be willing to take ownership for own personal development.
• Approachability and flexibility in style critical.
• Working towards Cert CII an advantage.
Claims Administrator
More Information
- Address BH12, Branksome, Dorset
