16 часов назад
Health Claims Team Leader (IPMI)
33 500 - 36 200GBP
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Health Claims Team Leader (IPMI): Leading day-to-day health claims operations and developing Claims Handlers, Quality Assurance Specialists, Claims Administrators, and Pre-Authorisation Handlers with an accent on policy interpretation, benefit eligibility, service levels, and regulatory compliance. Focus on managing complex and high-value claims, coaching team members, resolving escalations, and improving claims quality and operational efficiency.
Location: Hybrid/Office Based
Salary: £33,500–£36,200 per year plus a 5% performance-based annual bonus
Company
operates in the International Private Medical Insurance (IPMI) environment, supporting members, medical providers, brokers, underwriters, and other partners.
What you will do
- Lead the day-to-day activities of the Health Claims function and coordinate workloads, coverage, priorities, and service levels.
- Provide technical guidance on policy interpretation, benefit eligibility, claims assessment, and complex or high-value claims.
- Act as the first escalation point for operational and technical claims queries and complex customer issues.
- Coach, mentor, onboard, and develop Claims Handlers, Senior Claims Handlers, Quality Assurance Specialists, Claims Administrators, and Pre-Authorisation Handlers.
- Monitor quality, claims volumes, turnaround times, performance, operational risks, and compliance with FCA, GDPR, and internal governance requirements.
- Identify process improvements and support operational efficiency and excellent customer outcomes.
Requirements
- Strong experience in Health Claims, Medical Claims, IPMI, Travel Insurance, or a related insurance environment.
- Excellent understanding of claims handling, policy interpretation, and benefit eligibility.
- Strong communication, stakeholder management, organisation, prioritisation, and escalation-resolution skills.
- Proven ability to coach, support, and develop colleagues.
- Understanding of insurance operations compliance and regulatory requirements.
- Strong IT skills, including Microsoft Office applications and claims management systems.
Nice to have
- Previous experience as a Team Leader, Senior Claims Handler, or in a coaching role.
- Private Medical Insurance or International Private Medical Insurance experience.
- Experience with claims reporting, reserves, bordereaux, performance analysis, complaints handling, quality assurance, or audit processes.
- Additional language skills.
Culture & Benefits
- Full-time schedule of 37.5 hours per week, Monday to Friday.
- Strong internal promotion culture and an inclusive workplace.
- 22 days of annual leave plus 9 bank holidays, increasing to 30 days with length of service.
- Birthday leave, Bupa Dental Insurance, and a Healthshield Cash Plan.
- Two paid volunteer days per year and performance recognition awards and rewards.
- Summer and Christmas company celebrations.
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