Senior Claims Assessor Bristol, Peterborough, Edinburgh, Stirling, Basingstoke, Glasgow, Reading, Liverpool
About This Role Who are Diligenta?Diligenta's vision is to be acknowledged as Best in-class Platform based Life and Pensions Administration Service provider. Customer service is at the heart of everything we do and our aim is to transform our clients' operations. A business that has been described as ‘home’ by existing employees, we drive a culture that is founded on positive change and development. Summary of the roleWe currently have a vacancy for a Senior Claims Assessor in the claims department in Bristol, Salisbury or Peterborugh. This role involves making fair, correct, efficient decisions whilst hitting our targets as well as effectively assessing claims in at least one or more of the following areas, depending on the business need: Income Protection & Waiver of Premium, Critical Illness, Permanent Total Disability and Death claims.What you’ll be doing Making admittance and medical decisions and make recommendations within admittance authority for declines / terminations / mis-representation. Proactively manage a nominated portfolio of claims. Liaising with claimant(s) throughout the claims process and thoroughly investigate all claims, requesting and using appropriate medical and other evidence to assess the claim proactively within the agreed service standards Making recommendations to develop innovatively the Company’s claim philosophy and protocols. Providing authoritative technical support to the Risk Claims administration teams. Meeting service delivery measures of agreed service levels and elapse times. Undertaking projects, sponsored by the Risk Claims Manager, to develop the effectiveness of the Company’s claims management and improve its standing in the eyes of key stakeholders Carrying out technical audits and review technical competencies, providing feedback and coaching to ensure claims are managed in accordance with the Company’s claims philosophy and protocols and that claims assessors are maintaining appropriate levels of technical competence and safeguarding the company’s relationship with Aviva and our reinsurers. Meeting Technical and Quality Audit targets. What we’re looking for Previous experience in at least one of Income Protection, Waiver of Premium, Critical Illness, Permanent and Total Disability and Death Claims assessment Excellent telephone manner with the ability to deal with anxious distressed and sometimes angry customers Strong Microsoft and general PC skills. Proven ability to make admittance, declinature and medical decisions and make recommendations within admittance authority. Proven ability to coach and mentor less experienced claims assessors to enable them to develop their technical knowledge. Flexibility and adaptability Planning and organisational skills Excellent letter writing skills, the ability to draft detailed non-standard letters. A good level of general education in appropriate subjects is preferred. Benefits 31 days including Bank Holidays Eligibility for an annual discretionary bonus scheme Personal and career development opportunities to progress your aspirations within the company as well as through our global parent company (Tata Consultancy Services) Access to Perks at Work (an online discounted shopping platform) saving you money on a wide range of goods and services, including your weekly food shop, holidays and electrical goods Cycle to Work Scheme & Interest free Season Ticket loans A companywide Wellbeing programme, including an Employee Assistance Programme and other benefits/resources to support your mental/physical and financial wellbeing A comprehensive set of Moments that Matter policies, such as Carer’s Leave, Foster Leave and Retirement Leave A contributory company pension scheme where we match your contributions up to 6%, Group Life Assurance ('Death in Service') & Group Income Protection Apply to find out about our other benefits If you need any help or adjustments for any stage within the recruitment process due to health, disability, or any other reason, please let us know. Ready to take the next step in your career? Apply today and become part of our innovative team! Apply for this role: Required Required Required Invalid Required Required Required Required Do you hold valid Right to Work in the UK? YesNo Required Do you have any convictions or conditional cautions which are currently unspent under the Rehabilitation of Offenders Act 1974 (including traffic offences)? YesNo Required Are you or have you been the subject of any Voluntary Arrangements (IVAs), County Court Judgments (CCJs), Bankruptcy, or any other formal credit related proceedings which have or have not been satisfied? YesNo Required Have you been referred for this position by Diligenta Employee? YesNo Required Have you previously worked for Tata Consultancy Services (TCS)? YesNo Required Attach CV Required We ask the following questions so we can understand who applies for roles at Diligenta and check that our recruitment processes are fair and inclusive. Your answers are optional and won't be seen by anyone involved in assessing your application. They are used only in an anonymised way for reporting and analysis. If you'd rather not answer a question, you can select 'Prefer not to say'. Which of the following best describes the sex you were assigned at birth? Please Select Male Female Prefer Not To Say Required Is your gender identity the same as the sex you were assigned at birth? Please Select Yes No Prefer Not To Say Required Which of the following best describes your ethnic background? Please Select Asian or Asian British (Indian, Pakistani, Bangladeshi, Chinese, Other Asian background) Black, Black British, Caribbean or African (African, Caribbean, Other Black background) Mixed or Multiple ethnic groups (White and Black Caribbean, White and Black African, White and Asian, Other Mixed or Multiple ethnic background) White (English / Welsh / Scottish / Northern Irish / British, Irish, Gypsy or Irish Traveller, Other White background) Other ethnic group (Arab, Any other ethnic group) Prefer Not To Say Required Do you consider yourself to have a disability, long-term condition, or impairment?The Equality Act 2010 defines a person as disabled when they have a long-standing illness, condition or impairment, 'that reduces their ability to carry-out day-to-day activities'. Please Select Yes No Prefer Not To Say Required Tick to signal your acceptance of the Diligenta Privacy Policy and the privacy policy of our recruitment partners Sanderson Solutions Group