Claims Audit Consultant - East Sussex

BCT Resourcing
Brighton, East Sussex
£36,000 - £41,000 per annum
07 Aug 2017
04 Sep 2017
Contract Type
Full Time
Claims Audit Consultant - East Sussex
£36000 - £41000 per annum + bonus

A leading Life Insurer in Brighton is looking to hire a Claims Audit Consultant. You will be responsible for end-to-end audits of group income protection and critical illness claims appeals and decide whether to accept or reject the decision made.

Role Responsibilities:

* Provide a comprehensive assessment of Income Protection and Critical Illness claims appeals, deciding whether to accept or reject the appeal
* Conduct and deliver regular monthly audits of the decisions made by the benefits teams in relation to the Workplace Health and Protection products
* Deliver processes and systems to ensure that a consistent, acceptable level of service is provided to customers, that complaints and Financial Ombudsman Service (FOS) cases are handled fairly
* Develop, document and review our benefits philosophies, techniques & practices, reviewing competitor activities,
* Maintain an expert level of knowledge on all technical benefits issues and regulatory/legislative issues
* Compile & analyse statistical data and case studies to identify trends and produce & circulate reports and feedback to appropriate managers, individuals and group forums relating to findings and claims activity
* Undertake a technical development role, representing the benefits and medical underwriting area, when new business opportunities arise
* Define, develop & deliver processes & systems to ensure that all customer data is dealt with appropriately

Skills Required

* Expert level of knowledge of Group Income Protection claims
* Knowledge of Critical Illness claims highly beneficial
* Strong audit capabilities with the ability to provide concise feedback to senior management and handlers
* Strong working knowledge of legislative and regulatory aspects including Finance Act 2004, Equality Act (2010), Employment Law, HMRC rules relating to Life and Pensions products
* Excellent communication, both verbal and written, skills; analytical and risk management skills.
* Good understanding of medical conditions and the effect these can have on an individual's ability to work
* Awareness of the investigative and rehabilitation services provided by external organisations

Keywords:"claims" and "life" and "insurance" and "audit"

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