|Job Title:||Trainee claims adjuster|
|Description:||Trainee claims adjuster - Kingston, Surrey
Job Purpose: To adjust Accident, Sickness and Life claims within agreed authority levels, taking into consideration all the relevant factors such as benefits, medical history, and occupation, CMO and Re-insurers guidelines. Ensure all applications are dealt with accurately and within Department Service Level Agreements (SLA).
==> To process claims taking into consideration all the relevant factors such as benefits, medical history, occupation, CMO and re-insurers (Oscar) guidelines, to either pay the claim, decline the claim or obtain further information.
==> Complete the summary worksheet on all files handled, recording the total liability benefit payable, a chronological summary of all evidence received and reasons for your actions/decision and record all necessary information within the claims system.
==> Adjust files to the departments SLA'S these are as follows:
Accident & Sickness 1st, 2nd 10 files per hour, Correspondence and Death claims 8 files per hour. These figures should be achieved once the appropriate training period has been completed (refer to individual training plan).
==> All files should be adjusted accurately and the adjustor maintains an accuracy level of 95%.
==> To complete and update Daily Work Record and daily relevant spreadsheets whenever they are required.
==> Communicate effectively with Internal and external agents' ensuring professional conduct is maintained at all times.
==> Ensure all correspondence with clients and third parties is accurate, in plain English and in accordance with the company guidelines and style.
==> Identify and refer immediately to the Technical team any complaints received orally or in writing
==> Refer immediately to the Technical team any claims that have been identified are in a high loss ratio area.
==> To score above 80% in any test conducted whether for training or FSA requirements.
==> To understand the roles of other departments and how the adjustor's role interacts with them.
==> To be fully conversant with all products at all times.
==> To be aware of all department procedures.
==> To maintain the highest standards at all times and according to company policy.
==> To be conversant with regulatory requirements such as the Data Protection Act, Disability Discrimination Act, and the rules of the FSA etc.
==> To be aware of the company and department complaints procedures and standards.
==> To be smart at all times in line with company code of dress.
==> To be aware of health and safety procedures.
==> To be responsible for identifying one's own training and development needs.
|Salary Range:||£15000 - £16000/annum|
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