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Sedgwick

Sedgwick

TPA Claims Handler (Sedgwick)

Posted :2 years ago
Job location
Dublin, Ireland
Job type
Full time
Job Descriptions



Reporting 

Property TPA Ops Manager 

Key roles 

The role of the TPA Claims Handler is to provide a quality service to the customers of a leading
Insurer, which meets or exceeds the Insurer’s expectations and generates the revenue to meet the
demands of both Sedgwick’s and the Insurer’s businesses. The Claims Handler will be expected to
deliver and perform day-to-day tasks pertinent to the team’s activity with a major focus on Quality,
Accuracy, S.L.A’s, Procedures and Process-improvement. The team member will also be expected to
provide effective cover and assistance to the Ops Manager.



Specific responsibilities:



- TPA Team takes full ownership of claim Process for our Clients – FNOL to Claim Payment 

 - TPA Team also have different lines of business for our clients which will be handled by the team. 

- Responsible for management of assigned desktop claims & delivery of target 

- Provide effective and accurate advice to claimants based on a strong working knowledge of policy
terms and conditions. 

- Review allocated cases and achieve settlement, within designated personal authority level, in line
with established standards, procedures and guidance provided. 

- Manage customer interactions in an efficient, courteous and timely manner in order to deliver
high standards of customer satisfaction. 

- Interact with customers directly and liaise with Insurer representatives to ensure the highest
level of service and continuous operational efficiency.




- Reviewing Loss Adjusters Reports, Referrals / Correspondence on Managed Accounts 

- Authorisation of Payment with authority level 

- Provide assistance where required in the training of new Team Members 

- Maintain and update Personal Development Portfolio 

- Ensuring that you achieve the minimum insurance standard qualification within the time frame
and comply with CPD requirements where appropriate.
- Successfully contribute to the development and delivery of the Team’s Goals, Objectives and
Results



Qualifications/skills




- Minimum competency requirements APA or CIP Qualification desirable 

- High level of proficiency in Word, Excel, and PowerPoint 

- Sound numeric skills 

- High level interpersonal and communication (verbal/written) skills.





Personal attributes




- Sound knowledge of Sedgwick and its operation as a company (desirable but not essential) 

- Willingness to operate flexible hours.
- Capacity to work independently and demonstrate initiative. 

- Innovative 

- Have a full working knowledge of CPC & Central Bank of Ireland Regulatory Requirements 

- Willingness to work positively within a team environment with strong emphasis on support,
flexibility, and efficiency. 

- Understand how to organise work and think through how to get things done most efficiently
with the ability to perform on their own initiative. 

- Strive to ensure Accuracy and Quality is delivered at all times. 

- Focus on skills development. Take action to improve own and others’ job skills. 

- Must have strong interpersonal and communication skills and be self-motivated, flexible, and
capable of working to critical deadlines.




Colleague Benefits




• Education Contribution 

• Colleague Referral Bonus Incentive 

• Career development and progression 

• Tax Saver Travel Scheme 

• Sedgwick's Sports & Social Club 

• Employee Assistance Programme 

• Bike to Work Scheme 

• Discounted Gym Membership 

• Subsidised canteen 

• PHI and Life Cover

Qualifications

APA Qualification

Skills
  • Interpersonal Skills
  • Proficient in MS Office
Experience
  • -
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