Claims Administrator - Health - Cardiff Bay

Contract:
Permanent
Category:
Full Time
Job Sector:
Administration / Office Work, Financial Services / Insurance
Region:
South Wales
Location:
Cardiff
Salary description:
£15, 450 pa
Posted:
15/10/2018
Start Date:
ASAP
Recruiter:
Global Response Ltd
Job Ref:
CA/H1018

CLAIMS ADMINISTRATOR - HEALTH

Contract: Permanent

Category: Full Time

Job Sector: Administration / Office Work, Financial Services / Insurance

Region: South Wales

Location: Cardiff

Salary description: £15, 450 pa

WELCOME TO GLOBAL RESPONSE

We are a dynamic and expanding company with contemporary offices in Cardiff Bay, overlooking Roath Basin.  Our private roof terrace is an enviable suntrap in the summer months for the team who regularly socialise together outside of work.

We have built a reputation within the industry as a company who looks after their staff, delivering excellent training and career progression.  In fact, many of our employees have been with us for more than 10 years.  

Our highly experienced team provides an award-winning service to customers and their families who have suffered injury or illness while abroad, as well as supporting our clients across all aspects of the industry, from the initial purchase of an insurance policy to any claim that may arise.  We work with industry trade groups, major insurers and underwriters worldwide, ensuring that travellers, policy holders and corporate clients receive the best possible service.

As our new and existing departments sustainably grow, we are now recruiting to serve a new venture in our company’s portfolio and to cover the busy Summer season that is fast approaching.

We welcome applications from candidates who are currently or have previously worked in call centres, however we are not a sales or targeted environment.

We also encourage language speakers to apply particularly those speaking French, German, Greek, Italian, Portuguese and Spanish.

CLAIMS ADMINISTRATOR - HEALTH

JOB SUMMARY AND INTERNAL CUSTOMERS:
The Claims Administrator work alongside our International Private Medical Insurance (IPMI),Travel & Medical teams providing general administrative support to various business functions. This will include supporting the  Claims Handlers and Pre-authorisation Coordinators who handle clients wishing to claim on their IPMI plans, in advance of treatment or on a reimbursement basis.

The Claims Administrator will manage all incoming correspondence relating to claims, payments, and general member queries received.

The Claim Administrator will also provide invoicing and general administrative support to the Medical Team when required.

Additionally, the Claims Administrator will be required to assist with acknowledging receipt of correspondence, dealing with basic claim queries   and taking phone calls that come into the department.

The Claims Administrator will be required to work a 35 hour week, worked between the hours of 9am and 5pm, Monday to Friday.  There may be an occasional requirement to work outside of these hours in-order to respond to business need, but this will be done on an ad hoc basis and discussed in advance. The role will primarily be based in the Cardiff office.

DUTIES AND RESPONSIBILITIES
The Claims Administrator will:

  • Manage inbound email and post
  • Manage Claim Queries Helpline on a daily basis
  • Allocate correspondence to relevant cases and ensure follow-up action is set for relevant team members
  • Ensure all documents are correctly allocated on the Trident Health System
  • Set up any new claim submission ready for assessment by Claim Handlers
  • Manage and facilitate online claims portal registration requests and troubleshoot any registration queries
  • Accept bank detail submissions and ensure they are correctly added to member records
  • Provide ad hoc support to the Health Operational teams
  • Escalate any complaints received for resolution by relevant team members or management
  • Oversee any member payment queries and manage to resolution with support from Claim Handlers
  • Support Claims Handlers by finalising claims submitted for authorisation
  • Adhere to all internal processes and procedures at all times.

Other support:

  • Support business activities and objectives.
  • Undertake any other duties, as reasonably required by the IPMI Operations Manager or Head of Operations
  • Liaise with other relevant departments such as Assistance & Pre-authorisation team, Finance and the client to ensure a smooth pre-authorisation or reimbursement process for policyholders.

KNOWLEDGE SKILLS ABILITIES (REQUIREMENTS)
We are looking for an individual with the following areas of expertise:

  • Excellent written and oral communication skills.
  • Decision making skills and ability to use own initiative and work independently.
  • A diplomatic open style and approach, with excellent verbal and written communication.
  • A high degree of accuracy and attention to detail.
  • A good understanding and previous experience of the private medical insurance industry and claims processing, would be an advantage.
  • PC skills with good knowledge of Microsoft packages.
  • The ability to demonstrate customer led thinking.
  • Proactive approach to work and analytical problem solving skills.
  • The ability to plan and organise own workload, and work well under pressure.
  • The ability to work well both independently and as part of a team
  • Good problem solving and analytical skills.
  • Good commercial awareness with the ability to make decisions with the “bigger picture” in mind.
  • Ability to identify when it becomes appropriate to escalate a problem.

PREFERRED SKILLS

  • Language skills would be desirable but not essential, in particular German, Spanish, Japanese, Mandarin or Cantonese.
  • Working knowledge of MS Office and PC Skills
  • Good telephone manner

GLOBAL RESPONSE WORKS ON BEHALF OF FCA REGULATED COMPANIES AND WILL THEREFORE CARRY OUT BACKGROUND CHECKS.

To apply for this role, please submit your details online via the Apply Now button below.

Company Description

Global Response is an award-winning leader in travel medical assistance and claims management.

Established in 1998, Global Response has developed best-in-class operations, systems design and structure, cost containment and management, and fraud identification.

Underpinned by an extensive, worldwide agent network, Global Response is truly an international player in the market. With a multilingual customer support team, Global Response is capable of handling cases in any country 24 hours a day, 7 days a week, 365 days a year.

Global Response is an integral subsidiary of International Medical Group® (IMG®), a leader in global benefits and assistance services for more than 25 years.”

Closing Date:
12/11/2018

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