Claim Review Specialist

London  ‐ Onsite
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Description

Role - Claims Review Specialist

Location - London

Duration - 6 months

The Role

Within this role you will review advice given and decide whether it was satisfactory or not across product work streams and support the delivery of technical guidance and training to our outsourced claims processing partners.

Deliverables

  • Accurately investigating if advise given is accurate and to make efficient decisions on whether the advice given is accurate and ultimately satisfactory
  • Accurate technical and process guidance provided to outsource partners
  • Identification and resolution of Thematic issues
  • Value for Money benefits delivered

Delivery of Claims Process

  • Review claims and to review advice given in the General Investment space.
  • Ensure good governance of all dealings with outsourced partners, tracking progress and delivering to SLAs
  • Maintain training materials and deliver training to outsource partners
  • Take responsibility for keeping outsource partners up to date with process changes
  • Enable the partner to deliver services in accordance with the clients rules and policies
  • Provide technical support and guidance to the partner, applying knowledge and experience of Scheme rules and policies for different product types
  • Liaise with failed institutions, insolvency practitioners and other third parties enabling claims issues to be resolved effectively post declaration
  • Keep process manuals and training materials up to date and accessible to other users, maintaining security and version control
  • Support the delivery of specific deposits activity as required
  • Apply knowledge and experience of financial services products to investigate a wide range of compensation claims establishing whether a claim is eligible for compensation and calculating compensation due
  • Complete relevant claim checklists within Siebel to the appropriate standards
  • Identifies and resolves specific technical/legal/policy issues
  • Build effective relationships internally and with third parties including FCA, PRA, Insolvency Practitioners
  • Ensure good governance of claims in place for effective reporting
  • Ensure risks to delivery are identified and effectively managed. Collaborate with other Technical Claims team colleagues to ensure the consistent, effective and efficient processing of customer claims
  • Identify opportunities to improve the process

Claims Process Maintenance and Process Improvement:

  • Collaborate with other Technical Claims team colleagues to ensure the consistent, effective and efficient processing of customer claims
  • Identify opportunities to improve the process

TO APPLY PLEASE EMAIL

Candidates will ideally show evidence of the above in their CV in order to be considered.

Please be advised if you haven't heard from us within 48 hours then unfortunately your application has not been successful on this occasion, we may however keep your details on file for any suitable future vacancies and contact you accordingly.

Pontoon is an employment consultancy and operates as an equal opportunities employer.

Start date
n.a
From
Pontoon
Published at
15.02.2020
Project ID:
1893789
Contract type
Freelance
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