Senior Medical Claims Assessor

<< Back to Search Results

Job Description

The successful candidate will be accountable for managing a portfolio of claims by ensuring best practise approach is adopted as possible in order to meet competency levels and qualifications required to work in a busy claims function under MCC guidelines. The role holder will medically assess all Group Risk product claims, typically - life, critical illness and income protection/ disability claims on Irish and international schemes/policies as they occur and at claim review stage, making recommendations and decisions within agreed limits.

Required

Third level education with a professional qualification in Claims Management industry related.
Diploma in Life and Disability (DLDC) under the III.
Grandfathered Status under MCC.
QFA in Life, Pensions & Regulations under LIA.
Minimum of 5 years’ medical claims assessment.
Expert knowledge of Group Risk Products.
Demonstrates a strong ability to drive excellence standard across team.
Excellent communication, relationship management, analysis, report writing and interpersonal skills.
Ability to work under pressure and to tight deadlines.
Must have high professional standards and can demonstrate how to implement these across the claims team.
This role is a controlled function as defined by the Central Bank Reform Act 2010, Regulations (2011). Any appointment will be conditional upon satisfying the company that the job holder meets the requirements as set out in the

Apply via LinkedIn