Job Title: Claims and Operations Specialist
We are a leading European provider of creditor insurance, partnering with major financial institutions across multiple countries.
About the Role:
We seek a highly motivated and detail-oriented Operations Executive to efficiently investigate and process claims, administer medical subscriptions, and provide essential business support.
This role requires a strong focus on process improvement, regulatory compliance, and exceptional customer service.
* Claims Processing: Assess and process claims according to policy terms and conditions, including PPI claims. Manage claims decisions and approvals, ensuring accuracy and efficiency.
* CUSTOMER SERVICE: Provide excellent customer service via inbound and outbound calls, addressing inquiries and resolving issues promptly.
* Quality Assurance: Maintain a high level of quality in all work, including checking reports, transfer requests, and ensuring accuracy.
* Process Improvement: Identify and propose improvements to claims processing, investigation, and settlement procedures.
* Reporting: Report on productivity and other key metrics to the team leader/manager.
* Medical Subscriptions: Administer medical subscription input and validation, ensuring timely communication between teams, TPAs, and medical underwriters.
* Complaints Management: Provide backup support for complaints management and reporting, adhering to established procedures.
* Business Support: Assist in creating and updating procedures, maintaining documentation, providing training, and generating reports.
* Partner Management: Provide customer service support to partners, conduct operational visits, and facilitate training and communication.
* Project Participation: Contribute to projects related to new product implementation, partnership management, and process improvement.
Qualifications and Skills:
* Rlevant qualification, including a degree or insurance qualification, is advantageous.
* Experience in claims handling or medical underwriting is a plus.
* Excellent English communication skills. French or other European languages are a strong advantage.
* Strong customer relations and communication skills.
* Ability to work effectively with internal and external stakeholders.