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Insurance Case Co-ordinator

Job Title: Insurance Case Co-ordinator
Contract Type: Permanent
Location: Galway
Industry:
REF: 94838
Job Published: about 2 months ago

Job Description

Contact: Jenny Dore
Email: jenny@hero.ie
Telephone: 086 0449371



Insurance Case Co-ordinator

Our client, a company in Galway is currently looking to recruit Insurance Case Co-ordinator for their site.


What will I be doing
  • Review guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process.
  • Prepare and send written communication to our customers once cover has been determined
  • Daily review of new claims ensuring claim has been assigned and reserved accurately in claims system
  • Co-ordinating updates on potential high cost claims, VIP claims, complex assistance, rejections and any relevant decision on the disposal of such claims to TCC (Top Claims Committee).
  • Utilize critical thinking skills to discover better ways of working and resolve complex problems in a team environment
  • Technical support to the Claims Team Manager, Operations Manager and Supervisors.
  • To report any suspected incidents of fraud and corruption, maintaining a register of suspected and proven cases
  • Regular review of reserves, ensuring claims are accurate and report on Monthly / Quarterly and Annual Basis to TCC (Top Claims Committee).
  • To develop and deliver regular basic claims training to both new employees and existing staff in travel products.
  • To regularly review and maintain knowledge levels for the job and keep up-to-date with departmental operational changes.
  • To communicate clearly, accurately and effectively with internal and external customers.
  • To deal with the telephone calls in a customer-focused way, ensuring that service levels and standards are maintained.
  • Register and maintain Outpatient Cases
  • To make a positive input to the team's effectiveness, so that work systems and processes are altered and improved.
  • Identify and ensure Recovery is followed up.
  • To work with Claims Team Manger to monitor and control Leakage
  • To adhere to the Company's procedure in accordance with the Consumer Protection Code and all relevant Data Protection regulations
  • To undertake any other duty or responsibility that may reasonably be allocated either by the Claims Team Manager or Operations Manager.


What do I need
  • The successful candidate must have achieved or be working towards APA qualification
  • Minimum of 1 years' claims experience
  • Ability to increase productivity and continuously improve methods, approaches, and departmental contribution. Commitment to continuous learning.
  • Technical knowledge of typical travel insurance products a distinct advantage.
  • A good knowledge and understanding of the insurance market, the basic insurance principles and the ability to apply them.
  • Excellent written and verbal communication skills.
  • Good planning and organisation skills in order to meet timescales.
  • Good numerical skills and literacy skills including Microsoft Office suite

For further information on this Insurance Case Co-ordinator role in Galway please contact Jenny Dore on 086 0449371 / jenny@hero.ie

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