Claims Advisor - Central Appointments

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Description

Claims Advisor £15,000-£17,500 An excellent opportunity has become available within in a fast paced environment working for a company that is renowned for exceptional customer service My client is seeking a claims Adviser to provide members with a professional and timely claims handling service, in accordance with policy terms and conditions ensuring that all decisions and outcomes are reached through accurate and fair assessment of claims. Assessment of validity of claims · All incoming calls are answered quickly, and within service standards, providing a high level of customer service at all times in a professional and helpful manner · Pre-authorisation of eligible claims highlighting important areas such as benefit limits, excesses and co-payments, eligible hospitals and the process to be followed during the claim · Dealing with queries from providers · Providing advice on policy terms & conditions and personal exclusions · Providing members with written pre-authorisation for eligible out-patient diagnostic treatment where cover exists · Taking responsibility for the customer from start to finish · Adhering to complaints procedures · Encompass the ethos of Treating Members Fairly at all times · Accurate and consistent assessment of new and on-going claims · Speedy written pre-authorisation of claims ensuring that benefit limits are accurately highlighted · Thorough and careful assessment of incoming invoices from treatment providers · Ensuring the correct party is paid Person Specification · Minimum C grade in English Language & Mathematics at GCSE (or equivalent) · Customer Service background · Experience of using in-house databases and MS word/excel · Excellent verbal and written communication skills · Professionalism and assertiveness to apply rules and procedures whilst retaining customer satisfaction · People person and effective team worker · Organised and timely · Willingness to undertake training & progress knowledge This is an excellent opportunity for someone who is looking to progress and develop a career so if you think you have what it takes please apply today by sending your CV For this role we are acting as an Employment Agency