Job Description: Claims Management Consultant Dublin DO4 V1W6 Hybrid Working Options Permanent Full time Start date February **** Here you'll be welcomed.
We champion diversity and we understand the importance of our people representing the communities and customers we serve.
You'll find an inclusive environment where you can be yourself and where everyone is driven by the same purpose – helping people live longer, healthier, happier lives and making a better world.
Bupa Global is the international health insurance division of Bupa.
We provide customers who want premium international coverage with products and services to access the healthcare they need anytime, around the world, whether at home or when studying, living, travelling or working abroad.
Bupa Global has offices around the world including London and Brighton (UK), Dublin (Europe), Miami (USA), Dubai (UAE, in partnership with OIC), Egypt and Hong Kong (China) as well as regional offices in mainland China, Singapore, the Dominican Republic, Bolivia, Panama, Guatemala and Ecuador.
Role Overview As claims management consultant you will be a subject matter expert, putting the customer at the centre of everything you do and using your claims knowledge to put forward ideas for the continual improvement of the customer experience.
This is a diverse and skilled customer facing role where you will be responsible for resolving all claims queries to the customer's complete satisfaction without the need to refer the customer on.
This will include assessing complex and high value claims from all customer groups – Individual, Provider Corporate and Intermediaries.
What you will do Take end to end ownership for the resolution of all customer claims enquiries.
Case manage all queries through to resolution.
Responsible for complex case handling i.e. large claim authorization, extraordinary benefits and ex-gratia payments.
Accurately maintain and update customer records on the customer management system.
Ensure that records are accurately updated.
Participate in projects demanding decision making and high level of responsibility within operations and/or cross-departmental.
Comply with all regulatory and governance requirements including Central Bank of Ireland and Treating Customers Fairly Act as a role model for the team demonstrating outstanding personal behaviours and performance.
Work positively together with other teams and departments, treating them as internal customers and not creating barriers between departments.
Being a Customer Service Champion within Claims.
Contribute to the continuous improvement process by challenging exiting process and contributing ideas for improvement In addition to the claims management consultant activities, this role will involve enrolment support activity for customers based in the EEA What you will bring Background in the global health insurance market, or relevant transferable skills and knowledge from other financial services industries such as Life Insurance, Retail, Commercial or Investment Banking and Wealth Management.
Previous experience in the delivery of customer service within a contact centre setting, coupled with experience of case managing customer queries thorough to resolution Significant experience of claims assessment / management within the healthcare sector.
A track record of achieving and exceeding productivity and quality targets in a high performing team environment Highly customer focussed Excellent interpersonal, communication and influencing skills are required with emphasis on achieving results and successful outcomes.
Can demonstrate examples of supporting colleagues in a customer service setting.
An ability to speak a second European language would be an advantage Why Bupa?
We're a health insurer and provider.
With no shareholders, our customers are our focus.
Our people are all driven by the same purpose – helping people live longer, healthier, happier lives and making a better world.
We make health happen by being brave, caring and responsible in everything we do.