Job Description

Reporting to the Head of Claims, this role requires expert case management delivery of technical claim decisions and training of Junior Claims Assessors and Claims Administrators in the Employee Benefit Claims team across a sophisticated and diverse PanEurope corporate client base.

A primary challenge is to support the business in achieving aggressive growth targets by delivering expert claims management services that will be maintained throughout the lifetime of the products and the client relationship.

To manage 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. The role holder will have a primary coordinating role with Group companies, Reinsurers, Chief Medical Officer, IME consultants, Investigation services companies, Marsh, CUNA and also with the outsourced services to ensure prompt resolution of queries and claims.

The role holder will:
1. Understand the balance between technical claim imperatives and service obligations.
2. Ideally have a strong knowledge of Irish financial regulation and its application to life insurance companies.
3. Be a practical problem solver coupled with strong interpersonal skills.
4. Possess strong analytical and reasoning skills.
5. Oversee and implement proactive best practise case management on all claim product types.
6. Have experience with networking / liaising with a client and corporate broker base which is both diverse and multicultural.
7. Establish client confidence and deepen relations to retain and grow the business. Main Accountabilities Performance Indicators

Required / Desirable Qualifications and Experience Knowledge Experience

• 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 IP 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 Fitness and Probity Standards issued by the Central Bank.