Claims Advisor Job Description Template
Our company is looking for a Claims Advisor to join our team.
Responsibilities:
- Assist with Client claims audits and the provision of summary reports and analysis prior to renewal as directed;
- Review and interpret policy wordings to obtain the best claims settlements for Clients;
- Negotiate with Insurers/suppliers to achieve the most beneficial, cost effective settlement for the Client;
- Perusing recovery of losses on behalf of insurers and/or clients on all complex liability cases;
- Challenging current work procedures and recommend process improvement or development;
- Handling inbound telephone calls and responding appropriately and in a courteous and efficient manner;
- Deliver a first class claims handling service;
- Negotiate with insurers to ensure the best outcome for your client;
- Build strong relationships with colleagues, brokers and suppliers to ensure a seamless claims handling service;
- Acting as the first point of contact for customers abroad and requiring medical assistance;
- Understanding policy terms and conditions;
- Forwarding claims to internal teams to coordinate claims efficiently;
- Ensure the accurate documentation of client conversations;
- Take responsibility for every claim you handle and ensure all parties are kept informed;
- Dealing with all emergency and non-emergency claims in a calm and empathetic manner.
Requirements:
- The right person for this role will possess an excellent phone manner with confident communication skills;
- Previous industry experience would be a strong advantage within this role;
- You will also have proven skills in developing and maintaining close working relationships, both internally and externally;
- Claims will be of varying value and complexity so you’ll have to possess the skills and knowledge to assist a full range of clients.