Protection Claims Assessor
Competitive Salary
Until the end of July 2025 – Fixed Term Contract
Hybrid working (office based in Birmingham) – Currently 1-2 days in the office per week after initial training period
Closing Date: Thursday 21st November 2024
As a proud mutual since 1841, Wesleyan is committed to creating brighter financial futures for our customers and members. We specialise in providing financial services to some of the nation’s most trusted professions: GPs, hospital doctors, dentists, and teachers.
We are proud supporters of the ABI Making Flexible Work campaign which means we are open to discuss flexible working, job shares and part time options.
Your role:
We are seeking an experienced Protection Claims Assessor skilled in managing both the medical and financial aspects of income protection claims. Some experience in assessing critical illness claims would be desirable together with a strong ability to adapt to new processes and technology. In this role, you will be responsible for assessing and actively managing new and ongoing Income protection claims, ensuring accurate application of relevant policy conditions.
What you’ll be doing:
* To understand and accurately interpret a wide range of Income protection product contract wordings and be able to assess a claim through to payment and/or resolution.
* To be able to interpret medical evidence and confidently challenge Medical Officers and doctors.
* To be able to accurately interpret financial accounts and extrapolate relevant information for ongoing calculation of benefit level.
* To probe/challenge medical and financial evidence, make informed decisions whilst remaining logical and objectively focused.
* Maintain a broad understanding of medical terminology.
* Deal with complaints or appeals to terminate or decline a claim, which can include correspondence with Solicitors or the Financial Ombudsman Service.
* To fully understand and implement timely claim reviews adopting an innovative approach where necessary.
* To understand and be able to differentiate between the requirements associated with different types of claims: incapacity pension, waiver, critical illness, income protection etc.
* To fully understand reassurance treaties applying to the portfolio and comply with terms and conditions of the agreement.
* Confident in explaining decisions both verbally and written.
We’re looking for:
* A positive attitude towards change.
* A challenging approach to existing work practices.
* Ability to work on own initiative and look for innovative ways to gather evidence to make sound decisions regarding acceptance and continuance of income protection claims.
* Excellent communication skills including ability to produce free form letters that can be of a technical nature from a medical, financial or contractual basis.
* Have an organised and flexible approach to work.
* Proven claims management techniques in relation to income protection and critical illness products.
* Ability to make sound claims management decisions on the basis of medical and financial evidence.
* Ability to produce persuasive arguments with supporting evidence to challenge Financial Ombudsman and legal advisers acting for the customer.
* Must have the capacity to learn, absorb and analyse detailed information and refer to in depth medical reports and financial evidence.
Benefits:
* Annual Performance based Bonus – based on a mixture of company and personal performance.
* 28 days annual leave (plus 1 additional “culture day” & bank holidays) – increases to 30 days with 5 years’ service.
* Company pension scheme - matched plus 2% (up to 10%).
* Free secure underground Birmingham city centre parking (available on weekends for personal use – subject to availability).
* Cashback and discounts on major brands in retail, leisure, health, and wellbeing.
* Enhanced maternity & paternity pay.
* 2 volunteering days per year.
Equal Opportunities: Wesleyan are an equal opportunities employer. We know the best teams are made up of inclusive groups of diverse people where everyone’s contribution counts, and we believe everyone has the right to proudly be themselves. We’re building a culture where difference is actively encouraged and simply recruit the best people for the job irrespective of lifestyle, life history and life choices.
Reasonable Adjustments: We understand that there are a wide range of reasons that you may require reasonable adjustments to the recruitment process- please let us know in your application how we can best support you.
VISA Sponsorship: We are unable to provide VISA sponsorship, and therefore cannot employ anyone who does not have the legal right to live and work in the UK – within our recruitment process you will be asked to provide evidence of your Right to Work.
Advert Closing: We typically advertise for two weeks, though we reserve the right to close adverts early if we receive a high volume of applications; we would therefore recommend an early application if you’d like to be considered for our opportunities.
Regulatory Requirements: Please note this role is subject to regulatory requirements. As a financial services organisation we are committed to adopting the highest standards and we do this by employing individuals with the appropriate skills, experience and integrity to protect the Wesleyan Group and our customers. Relevant checks and assessments will be carried out during the recruitment process. The nature of the checks will depend on whether the role is subject to the Senior Managers and Certification Regime (SMCR) or the Insurance Distribution Directive. Please note a criminal record check and credit check will apply and this role is also subject to ongoing checks in line with the Group SMCR Framework (Fit & Proper Policy).
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