Job Description

: Claims Admin - Call Handler

Regular Monday to Friday daytime hours available with General & Medical, a well-established


family-run business who specialise in Health Insurance. We are looking for a candidate with


excellent communication ability to recruit into our Claims team, bringing experience with customer


calls. Essential skills include Microsoft Office and you will need to demonstrate organisation ability


and be able to work as a member of the team. Your work will ensure our service remains excellent


as you contribute effectively in a professional manner across a busy area of business. All product


and system training will be provided - you will need to demonstrate the desire to succeed and the


skill to communicate. The position is office based with a focus on delivering a quality service to our


customers.

Responsibilities for this position:

Listening to and understanding the individual needs of each customer Developing a good relationship with all clients by providing a personal service and undertaking
regular contact calls to meet client requirements
Skilful communications by phone, email and written correspondence and by demonstrating
capabilities to deal with a wide variety of health-related claims
Recording accurately all events / details and actions relating to specific individuals on the
database. Ensuring copies of all documents and letters which are sent out/issued are retained


on the client file
Working as a team member, supporting colleagues and the Company Managing own workflow in a timely manner Having an understanding of how the functions of the role interlink and benefit that of other roles

Processing Claims:

Work proactively to process claims by contact with the client and the Medical Service Providers Ensure a thorough understanding of the cover purchased by a client to differentiate between
eligible and ineligible claimsWorks in a methodical way to present full facts to the claims decision maker in order that an
appropriate decision can be made on each claimEnsure that all relevant data and scans are entered into the database Be able to account for actions relating to claims by using methodical accurate data input methods

Complaints:

Takes required actions to resolve potential and existing complaints, discussing any complaints or
claims that may become contentious with the Customer Service Manager

Adhering to Regulations:

Undertake Financial Conduct Authority (FCA) Training as required and keep yourself up to date
with any relevant regulation changes
Ensure that own work is in accordance with set procedures and in such a way that it shows a full
history of events, which are specific and evidenced
Undertake Data Protection training as required and ensures working procedures adheres to the
set regulations

Telephone System:

Take appropriate incoming calls and handle as necessary Log all calls to the individual client record on the database

Personal performance, conduct and development

Meet targets and take responsibility for own performance:


Remain abreast of current processes and services offered by the company and be aware of changes


to legislation by the Financial Conduct Authority (FCA). Cascade any information / changes in


legislation to work colleagues.




Work in Accordance with the company policies and procedures:


Be aware of and adhere to Company policies and procedures. Work in a way that meets the


statutory requirements of employees under legislation.




Flexibility and Team Work:


Work flexibly as part of a team to meet the needs of the customers of the Company. Value each


team member's contribution and help colleagues to perform to the best of their abilities.




Professionalism:


Set a good example to other staff in attitude to work and general working practice. Deal with all


colleagues and customers in a professional manner. Maintain a professional working relationship


with direct reports in order that there is no issue in dealing with any unacceptable performance


and/or conduct.

What you can expect from us:

Regular and Full Time Monday to Friday hours - no evenings, no shifts and no weekend work Access to Pension Scheme Attendance Bonus Great Annual Leave Benefit including additional family days Free Worldwide Multi Trip Travel Insurance Cover and discounted rate for family members Cash benefits linked to Personal Accident, Life Cover and Critical Illness Monthly Employee Rewards Scheme Commitment to Employee Learning and Development Access to Wellbeing Services and Discount Scheme Free tea, coffee and fresh fruit Friendly working environment in Peterborough - convenient location close to the A1


Our greatest strength is our people - professional, driven yet grounded and fun to work with. If
our culture sounds like a good fit for you and you want to be part of our exciting journey then


please send a copy of your CV to jobs@generalandmedical.com