Are you an experienced Claims Assessor? Do you thrive in being responsible for financial and medical decisions about claims assessments? Would you love to workfrom home or on an agile basis from our Hove office? If this sounds like you, then we would love to hear from you!

As a Claims Assessor, you will establish liability through accurate assessment, using your decision making and communication skills to achieve settlement. You’ll be paying out on claims that cover critical illness, disability, TIC and bereavement.

• You’ll be gathering appropriate evidence and medically assessing information, in order to accept or decline claims displaying logical reasoning.
• Managing end to end claims, taking responsibility for all customer communication and being the main point of contact, so that customer satisfaction is maximised, and expectations met.
• You’ll be processing claims within guidelines, so that quality and compliance are consistently met.
• Liaising with customers and third parties in a professional, friendly and efficient manner in order to obtain information.
• Taking ownership of appeals and complaints. Ensuring root causes are escalated to achieve customer satisfaction. 
• Supporting your team by taking ownership of projects or department initiatives. Sharing knowledge, ideas and feedback.
• Managing contentious or sensitive claims, involving fraud, overseas issues, litigation or the prospect of litigation. This could include liaising with managers, legal services or being on claims panels, so that the claim is effectively resolved.

• Experience and exposure in handling relevant claims with decision making authority.
• Extensive medical knowledge.
• Knowledge of legal aspects pertaining to claims, such as probate and awareness of compliance regulations.
• Comprehensive understanding of underwriting, including new business process.
• Strong customer handling skills with an acute ability to show empathy and sensitivity.
• Excellent letter writing skills, particularly when handling refuted claims.
• Ability to effectively engage with 3rd parties such as reinsurers and medical providers.
• Demonstrated ability to manage difficult calls, especially when researching circumstances with the potential to end in refuted claims.

You’ll be working 35 hours a week. Our opening hours are 8:30am - 6pm.  We have a flexible working arrangement, whereby you start and finish your working hours anytime between our opening hours.

Whatever your role, we reward ability, performance and attitude with a package that looks after all the things that are important to you. Our employees have a wide range of benefits including a generous pension scheme, life assurance, 25 days’ holiday, private medical insurance, discretionary performance related bonuses, paid overtime, a variety of share schemes, discounts at both a huge range of high street stores and our own great products. Your hard work will be rewarded when you join us.