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Pet Claim Assessor

Job description

Pet Claims Assessors

Salary: £22 - 26k (£24 - 28 k ote)

Hours: Full Time - Monday to Friday 9am-5pm

Training: Full Time training must be completed for first 3-5 weeks

MUST have 12 months experience in a pet insurance claims assessing role or 2 years as a RVN

Overview:

The main purpose of this role is to assess and validate Pet Insurance claims, gathering any necessary information required in an efficient manner. A strong candidate will be able to successfully perform and achieve productivity targets whilst also adhering to the claims process; being able to self-motivate and demonstrate being a team player at the same time.

Key Responsibilities:

  • Review incoming forms and ensure claims and pre-authorisations are settled within the Service Level Agreements
  • Assessing new and continuation claim submissions by reviewing all claim documentation supplied
  • Collating information from customers and veterinary practises to assess claims appropriately
  • Ensuring prompt and accurate payment of valid claims and querying any anomalies and declining claims that are invalid
  • Identifying potentially fraudulent claims and following agreed process for referral.
  • Ensuring that high levels of customer service is offered through processing of accurate and timely information
  • Maintaining a consistent and energetic approach whilst building rapport with internal and external customer to establish customer relations
  • Establish and maintain effective communication and relationships with all colleagues and customers, whilst promoting a professional image
  • Develop and maintain a competent level of technical, product and system knowledge and be able to explain policy cover in line with terms and conditions
  • Where applicable, to ensure that DPA, FCA, TCF and other regulatory requirements are met
  • Understand business issues and recommend solutions to improve
  • Commit to own personal development
  • Provide support and guidance to others as required.
  • To undertake other reasonable responsibilities and projects as instructed by their line manager

Essential Skills:

  • Vet practice (e.g. vet nurse), medical or pharmaceutical experience or qualifications in these areas
  • Excellent communication skills and strong team player
  • Ability to multi-task
  • High attention to detail
  • Strong data entry and IT skills
  • Flexible attitude to work - willingness to take on new tasks
  • Ability to work on own initiative and remain motivated in a changing working environment

Desirable Skills:

  • Experience of working in an admin/contact centre or customer service environment
  • Basic knowledge of insurance products and principles

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