This is an exciting opportunity to join us as a Technical Claims Handler. Reporting to the Head of Technical Travel Claims, the role will focus on building your capability in medical assistance claims. This area involves some very interesting, challenging and complex claims to deal with. It is an area that has a big impact on both our claims spend and customer experience so you can have a direct influence in helping us deliver outstanding results as a travel business.
The role will initially involve monitoring of the assistance claims, ensuring that our suppliers perform effectively in their role, and you will work with them to manage both the customer and financial aspects of the claims closely. You will also provide oversight and decision making on claims up to £20k to help build your experience and capability for the long term.
We are looking for someone who has experience of complex claims handling, and so has a real focus on attention to detail and confidence in their decision making. You will be an ambitious and enthusiastic person who is able to work under your own steam and comfortable using reporting and data to spot potential issues. You will be comfortable with speaking with suppliers and influencing action through others to ensure claims are being effectively managed.
The claims environment is fast paced, and you will often be required to make quick decisions on quite challenging claims so being comfortable with this and being able to establish the facts of a case quickly to help you do this is important. You will be coming in at an exciting time for the travel claims operation as we are about to enter a period of growth, and this role will be key in helping to ensure that on our highest risk claims we have strong controls and oversight to ensure good customer outcomes and effective cost control.
Main duties
- Conduct daily reviews of supplier medical assistance claims including cases under £10k to ensure these are being managed effectively
- Daily monitoring of claims that are in a specific part of the cycle to ensure the supplier is performing effectively e.g. claims awaiting GP checks, customers that are inpatient, customers awaiting repatriation, etc
- Review and personally manage large loss cases up to £20,000
- Effectively be able to interrogate medical assistance data and reports to identify cases that may require additional support and act quickly to address issues to ensure good customer outcomes
- Undertake live quality checks on cases and provide feedback to the supplier to rectify cases if issues identified
- Support with medical referrals from the in-house team and medical triage team
- Help to reduce the cost of claims by ensuring actions are being taken at the earliest possible point e.g. repatriation of customer, medical reports being reviewed quickly to make decisions, etc
- Identify potential fraud or recovery cases at an early stage and ensure these are passed to the relevant team
- Dealing with customer complaints and liaising with customers as needed
- Conducting monthly stock reviews and providing feedback to the supplier
Experience and qualifications required
- Background in handling of medical assistance/medical claims.
- Attention to detail and comfortable with data
- Resilient and can work effectively in a fast paced environment
- Communicates effectively with a range of people including suppliers
- Ability to influence (including third party companies) to get good outcomes for customers
Our Commitment to You
At Admiral, we are committed to being a diverse and inclusive workplace. Admiral is proud to be an equal opportunities employer and does not discriminate on the basis of race, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), national origin, gender, gender identity, sexual orientation, disability, age, or any other legally protected status.
All qualified applicants will receive equal consideration for employment.
Benefits, and Work-Life Balance
At Admiral, we are proud to be a diverse business where we put our people and customers first. We have great benefits to ensure employees have a great work-life balance; it's one of the reasons we’re consistently voted one of the Sunday Times Best Big Companies to work for in the UK.
All colleagues will receive 33 days holiday (including banks holidays) when they join us, and this will increase with length of service, up to a maximum of 38 days (including banks holidays). You also have the option to buy or sell up to five days of annual leave in addition to your allocation.
You can also view some of our other key benefits here.
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