Claims Handler

and details on how your personal data is processed, please review our .# Recruiter for this role: Purpose of the Job To assess and settle dental insurance claims promptly and efficiently, whilst providing an excellent level of customer service at all times, maintaining high standard of customer engagement through prompt and proactive responses to all claims phone and email queries, whilst adhering to strict deadlines and service level agreements. Key Responsibilities Call and Correspondence (including Electronic Mail) Handling Handle all customer calls and emails enquiries promptly and efficiently Ensure delivery of exceptional customer experience throughout all communication channels Obtain all necessary information from the caller to register new claims and secure an accurate understanding of the claims circumstances and inform the client, in accordance with department guidelines, of the correct procedures to submit or progress a claim Accurately record case data and ensuring proactive case progression Claims Assessments Proactively handle all claims assigned optimising ongoing file ownership, where possible, to final resolution. Assess claims promptly and efficiently using up to date and most appropriate methods such as tele-claims and conversational claims Investigate, negotiate and settle claims within an agreed authority level, KPIs and timeframes, ensuring fair settlement of valid claims, referring to any applicable Claims Philosophy outlined by departmental processes Effectively communicate decisions to customers and provide a clear and understandable explanation of claims decisions and case status Handle complex cases and customer complaints within business guidelines, escalating cases in line with departmental processes Investigate and / or referral of potentially fraudulent claims o Take all steps and precautions to minimise leakage Preparation of quotes for dental treatment plans o Liaison contact with network dental practices To escalate Network issues as appropriate with full case background Promote the best image of the Company through a professional manner, personal appearance and behaviour and adhere to company standards and procedures. Maintain the highest level of personal conduct Understand and follow departmental procedures and processes and participate in initiatives and contribute to the continuous development of the claims process by identifying opportunities for product development and process improvement. Accurately report and adhere to quality and KPI metrics on a monthly basis by implementing development needs as communicated by the Quality Team Develop and utilise specialist knowledge, skills and appropriate behaviours to achieve a successful case outcome Maintain a good understanding of the claims IT systems Maintain a good knowledge of policy wording, underwriters' approaches and their application to claims Ensure compliance with FCA, Central back of Ireland and regulatory requirements, including adherence to the Consumer Protection Code, as well as DPA and GDPR Provide back-up and support to other Operational functions as required This job description is not exhaustive and is intended to be a guide to the principle duties of the post only. It may be amended at any time with the agreement of the post hold and line manager. Knowledge, skills and experience required Skills Excellent verbal and written communications skills Numeracy and literacy to include relevant PC skills - Work & Outlook (essential), Excel (desirable) with accurate and quick keyboard skills Commitment to Customer Centricity Strong empathy with professional and sensitive client approach Effective listening skills Excellent call handling & interpersonal skills/influencing and negotiating skills Good attention to detail and able to work accurately to meet strict deadlines and targets Exceptionally quality driven Excellent decision-making skills Ability to strike a balance between demonstrating empathy with the customer whilst conscious of the need to settle claims in accordance to policy wordings Ability to remain composed and professional, whilst focusing on the customer when under pressure Strong time management and ability to manage high volume workload Adaptable to change with flexible approach to daily department tasks and working hours Assertive and confident in dealing with people at all levels An effective team worker who demonstrates an ability to take ownership and responsibility for resolving issues / problems Ability to increase productivity and continuously improve methods, approaches and departmental contribution Strong work ethic Commitment and drive for continuous learning Educational Requirement Must be working towards or a qualified APA qualification as a minimum insurance educational requirementCollinson Group is a global leader in driving loyalty and engagement for many of the world's largest companies. Predominantly through the provision of travel related benefits within a market leading digital travel ecosystem. The group offers a unique blend of industry and sector specialists who together provide market-leading experience in delivering products and services across four core capabilities: Loyalty, Lifestyle Benefits and Insurance.The group provides unrivalled insight and expertise around affluent consumers and frequent travellers, creating and delivering products and services now accessible to over 400m end consumers.We have more than 25 years' experience, with 28 global locations, servicing over 800 clients in 170 countries, employing 1,800 people.We have been bringing innovation to the market since inception - from launching the first independent global VIP lounge access Programme, Priority Pass to being the first to sell direct travel insurance in the UK through Columbus Direct and creating the first loyalty agency of its kind in the travel sector with ICLP. Today we still invest heavily in innovation to ensure that we continue to deliver superior customer experiences.Key clients include: Visa, Mastercard, American Express, Cathay Pacific, British Airways, LATAM, Flying Blue, Accor, EasyJet, HSBC, Chase, HDFC.Our mission is focused on doing good beyond profit, which for us means we seek out opportunities for our people to share in our success and that we give back to the communities and people within which we work.Never short of ambition, the success of our business is delivered through the diverse and talented team of over 1,800 colleagues globally.# Equal Opportunities: Our commitment to inclusion Collinson is an equal opportunity employer and welcomes differences in all their forms including: colour, race, ethnicity, gender identity, sexual orientation, neurodivergence, family status, age, individuals with disabilities and people from all backgrounds, cultures and experiences as we strongly believe this contributes to our on-going success.We are focused on continually evolving our purpose driven, high performing culture, providing an environment where our people have the opportunity to achieve their full potential and do interesting and meaningful work. Our company values are: Act smarter, Do the right thing, One team and Be insight led. These help guide everything we do internally in terms of how we think, act and interact, right through to how we deliver value to our customers and clients.If you need any extra support throughout the interview process, then please email us at can look forward to a competitive salary and benefit plan including but not limited to: Employee Assistance Programme (EAP) Priority Pass Membership Workplace Pension Scheme with company contributions VHI Healthcare Membership Group Life Assurance (4 annual salary) Cycle to Work Scheme Length of Service Awards Vision Care