Claims Process Specialist

As a Claims Process Specialist, your primary responsibility will be to ensure that the claims process is efficient and effective. You will work closely with other departments, such as underwriting and claims operations, to identify areas for improvement and implement solutions.


Your Tasks:
• Review and assess claims process to identify areas for improvement.
• Develop and implement process improvements to increase efficiency and accuracy.
• Monitor the claims process to ensure compliance with company policies and procedures.
• Identify training needs and provide training to team members as needed.
• Collaborate with other departments to ensure that the claims process is integrated with other functions, such as underwriting and finance.
• Ensure compliance with regulatory requirements and industry standards.
• Develop and maintain relationships with key stakeholders, including clients and brokers.
• Analyze claims data to identify trends and provide insights to management
• Provide support to claims adjusters and other team members as needed.
• Identify potential fraud and escalate to the appropriate team.
• Designing and interpreting reports to support the teams in analysing data.



Experience Required:
• Mandatory previous work experience in the general insurance sector


Your skills:
• Qualified by experience / university education
• Able to understand, analyse and manipulate large amounts of financial data.
• Strong reconciliation skills - ability to deep dive and analyse data. 
• Excellent Excel working with complex formulae/tables.
• Strong communication and presentation skills. 
• Able to work independent of process maps and documentation.
• Inquisitive mind set, able to drill into the detail while understanding the bigger picture to bring solutions to any potential issue.


Nice to have:
• Knowledge of insurance policy administration systems e.g. Eclipse
• Understanding of data visualisation and reporting e.g Power BI
• JIRA