Job Details: Senior Medical Claims Assessor


JobsIreland
Jervis Street
Dublin 1
jobsireland.ie
Senior Medical Claims Assessor
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 **Apply on the website**, Regulations (**Apply on the
website**). Any appointment will be conditional upon satisfying the
company that the job holder meets the requirements as set out in the
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 **Apply on the website**, Regulations (**Apply on the
website**). Any appointment will be conditional upon satisfying the
company that the job holder meets the requirements as set out in the


We need : English (Good)

Type: Permanent
Payment:
Category: Others

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