Health Claims Assessor (Insurance)

Location: Edinburgh, United Kingdom; hybrid working with at least two days per week or 40% of working time at an office site.

Salary: £44,901–£54,879 per year, plus benefits and an annual performance-related bonus.

Company

hirify.global is a major UK financial services organisation shaping banking and insurance through innovation and customer-focused services.

What you will do

• Assess health insurance claims accurately and fairly in line with policy terms, authority limits, and regulatory requirements.
• Manage a portfolio of claims using medical and policy information while meeting quality and service standards.
• Support customers throughout the claims journey through clear communication, empathy, and guidance.
• Maintain high standards of quality, risk management, and compliance across claim assessments.
• Mentor less experienced colleagues and share technical expertise and best practices.
• Contribute to initiatives that improve customer outcomes and team performance.

Requirements

• Experience assessing health insurance claims across a range of products in a health claims environment.
• Strong knowledge of Critical Illness and Terminal Illness claims assessment.
• Ability to review complex information, apply sound judgement, and make balanced decisions.
• Experience managing a case portfolio while meeting quality, accuracy, and service standards.
• Excellent customer communication skills, including the ability to explain decisions clearly and manage expectations.

Nice to have

• Experience assessing Income Protection claims.
• Experience mentoring, coaching, or supporting colleagues' development.
• Ability to work across multiple claim types and broaden technical capability quickly.

Culture & Benefits

• Collaborative and supportive working environment focused on continuous improvement and professional development.
• Commitment to diversity, equity, inclusion, and workplace adjustments for colleagues with disabilities or health conditions.
• Pension contribution of up to 15% and an annual performance-related bonus.
• Share schemes, including free shares, and lifestyle benefits such as discounted shopping.
• 28 days of holiday plus bank holidays, wellbeing initiatives, and parental leave policies.