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CLAIMS ASSESSOR – FLUENT GERMAN
Company:CAREERMOVES IRELAND |
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Job Reference Number |
14171560 |
Client ID: |
RI/CLAIMSASSESS |
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Posted On: |
Sep 2 2009 |
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Location: |
DUBLIN |
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Job Type: |
Permanent |
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Salary: |
SEE DESCRIPTION |
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Benefits: |
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Location: Dublin centre
Salary: €30-60,000
Company: we are a leading provider of Life, Pension and Investment products. We have over 100 years experience in Ireland serving the financial planning needs of our clients. Today as part of our aggressive market growth strategy we continue to make significant investments in our business. As our business grows so too does our need for experienced professionals and we are now seeking to fill a number of positions.
Purpose of Role
The Role involves the end-to-end assessment of claims for Death, Critical Illness, Essential Ability and various Disability benefits.
The successful candidate will assess Risk Benefit claims from notification to settlement, ensuring that only valid claims are paid.
You will work as part of a team and provide high quality customer service that consistently achieves company turnaround and quality standards, in order to satisfy the requirements of the Life Assurance business.
Duties & Responsibilities
- Management of the claim end-to-end in its entirety from initial Broker/Client query, formal notification, identification and request of requirements, identification of the appropriate assessment methodology, systematic review of claim and issuing reminders, carrying out the assessment of each piece of evidence on receipt and identifying if any further evidence is required (as well as identifying if outstanding requirements are no longer valid), decide within personal autonomy or referral to internal autonomy holder or re-assurers, executing re-assurer further requirements up to and including final decision.
- Working with tight deadlines, being aware of time limits and their beginnings.
- Act in accordance with legislation in issuing provisional or final (rescissions/) withdrawals (Rücktritt) as well as contestation (Anfechtung) from contracts during the assessment process.
- Act in accordance with VVG legislation wef 01/01/2008 in issuing provisional (rescissions/) withdrawals, cancellations or changing of the contract to reflect changed terms.
- Ensure accuracy in all decisions, documentation, written correspondence and system updates.
- Manage disputed claims in cooperation with a Senior Claims assessor or the Team Leader.
- Assessment of and response to initial query from client/broker/BC and advise of whether claim suitable for submission.
- Acceptance of Formal Notification of Claim and full assessment up to settlement stage.
- Maintenance of all supporting databases used in monitoring claims activities.
- Provide and/or check statistics re e.g. amount of Claims cases for e.g. reserve, also for the re-insurers.
- Regular updates to clients and agents.
- Assessing all evidence and presenting final recommendation to re-assurers or to team if claim is within company autonomy.
- Answering general queries from Brokers/BCs/ Claimants.
- Prepare or authorise payment within autonomy level and ensure payment to the correct beneficiaries/recipients.
- Demonstrate the ability to meet deadlines and prioritise work with ease and effectiveness.
- Demonstrate the level of knowledge and expertise required to be an effective point of contact for others on the team and from other departments.
- Coaching and training colleagues.
- Ensure accuracy in all aspects of the role and ensuring that Claims is represented in a professional manner through high level accuracy in:
- Provide excellent service in contacting brokers and BCs to help solve problems immediately and avoid unnecessary delays.
- Always have the customer (client / broker) in mind when dealing with cases and strive to achieve solutions that meet the needs of the client as well as the business.
- Treat customer information (particularly medical and financial) sensitively and in confidence.
- Deal with complaints swiftly and accurately to help achieve customer satisfaction as well as service standards.
- Resolve or assist in the resolution of service breakdowns & complaints and actively contribute to keeping these to a minimum.
- Identify inefficiencies in the Claims workflows and procedures and where possible work with the team and Claims Team Leader to implement improvements.
- Identify the root-causes of complaints and suggest ways of improving the process / awareness / knowledge to prevent re-occurrences.
- Ensure accuracy in all written and spoken correspondence to clients and brokers.
- Responsible for ensuring that the appropriate medium is used for both internal communication, team leaders/managers and external communication - this will typically be face to face, by phone, email or written.
- Prepare and contribute to Team Meetings and 1-1`s.
- To be involved in the training of team members and new starters on our products, processes and systems. This may be in the form of ad-hoc or on-the-job training or more formal training sessions.
- Actively support in the overall achievement of the team's goals and objectives.
- Develop further and maintain excellent working relationships with colleagues in all internal departments.
- Actively participate and contribute to Team Meetings.
- Maintain performance and positive relationships even when under pressure.
- Be proactive and solution oriented.
- Take ownership for keeping up-to-date on all technical aspects of the job - products, procedures, compliance and legal issues, especially updated insurance law (VVG n.F.) - attending any training sessions organised on your behalf.
- Take ownership for keeping up to date with the Company's product offerings, procedures, compliance and legal requirements.
- Excellent organisational skills and the ability to manage own work efficiently.
- Prioritise workload (including BAU, project work and requests from team and customers) in line with team targets and react positively to ever changing business demands.
- Self-motivation.
- Work proactively to ensure that backlogs do not occur and highlight any risks to the Claims Team Leader.
Essential:
- Minimum 3 years claims assessment experience in Life, Critical Illness and BUZ markets.
- Working towards completion of recognised Claim Assessment training programme (such as IHK) or other relevant formal qualifications.
- Strong attention to detail.
- An excellent knowledge of VVG and its changes wef 01/01/2008 as it relates to Insurance Claims in Germany.
- Fluency in German and basic English.
- Excellent keyboard skills with experience of Microsoft Office, Lotus Notes and other standard software.
- Business/Technical knowledge
- Customer Services
- Communication
- Interpersonal/Teamwork
- Problem Solving/Decision Making
- Self-management/Demonstrates Professionalism
You can also call us directly at +4930-32765828 or +49179-2448630 or send an email to info@careermoves-ireland.com if you need any further details.
All Careermoves consultants speak fluent English, German and French!
Looking forward to hearing from you!
