JOB PURPOSE
The Claims Specialist is responsible for efficiently processing and reviewing claims while ensuring compliance with company policies, regulatory requirements, and agreed service levels (SLAs). This role includes handling customer queries related to claims, providing timely updates, and offering solutions to any issues that may arise. The Claims Specialist is also tasked with investigating potential fraud, adjudicating claims fairly, and supporting internal teams with ad hoc tasks. Additionally, this role requires effective collaboration with multilingual customer service teams, assisting with the development of new products, and driving continuous improvements to processes.
ROLE AND KEY RESPONSIBILITIES
What you will do as a Claims Specialist in Companjon
* Process claims within the agreed company SLA, ensuring each claim is assessed in accordance with company policies, industry regulations, and best practices.
* Conduct thorough and fair adjudication of claims, performing investigations and following up with customers and internal departments in a timely manner.
* Address external and internal customer queries in a professional, solution-oriented manner.
* Provide language support (including but not limited to French, German, Italian, Spanish, Hungarian) to assist customer service teams with claims-related complaints and complex cases.
* Collaborate with tech and IT teams in the development and refinement of claims processing products.
* Conduct Special Investigation Unit (SIU) reviews and escalate potential fraud cases for further investigation.
* Generate and analyze recurring claims reports to identify trends, operational efficiencies, and areas for improvement.
* Maintain training materials and ensure team members are updated on best practices and procedural changes.
* Perform other ad hoc duties as required to support the claims and Customer Service department and business objectives.
QUALIFICATIONS & EDUCATION REQUIREMENTS
What you will need to succeed
* Possession of one of the following qualifications: APA (Personal General Insurance), CIP, Accredited Product Professional, Associate or Fellow of the Chartered Insurance Institute.
* Previous experience in a claims handling, insurance, or related field preferred.
* Knowledge of insurance policies and claims adjudication processes.
* Experience in fraud detection and escalation is a plus.
COMPETENCES / SOFT SKILLS
What we would love to see from you
* Strong analytical and decision-making skills.
* Excellent communication and customer service skills.
* Ability to manage multiple tasks and prioritize effectively.
* Strong attention to detail and accuracy.
* Problem-solving and investigative mindset.
* Proficiency in multiple languages is an advantage.
* Experience with claims processing systems and technology.
* Fluent in English and one other language.
Benefits
What we can offer to You
* Innovative remote working policy – We are proud to have introduced “Companjon onsite days”. You have the option to work remotely, apart from one week per month (with the option to add additional days when needed) in which we come all together in our Dublin office to strengthen relationships, reconnect… and have fun!
* Highly competitive salary – Our compensation package is very competitive in the market, with high growth potential.
* Unique career development - You will have the opportunity to accelerate your learning and career development by joining a fast-growing start-up.
* Possibility to have a strong impact and independence – We value your ideas and opinions. We believe that you can have a strong impact and you will work on meaningful tasks. You will have the opportunity to work on your own initiatives and take risks. Failures are part of the journey.
* Ownership of your future – We are growing fast, and you will have the opportunity to shape your own role and future in the company.
* Direct access to top management – You will work in direct contact with the top management, giving you the opportunity to learn from highly experienced senior employees.
* Amazing diverse team – You will have the chance to work with brilliant people from different backgrounds and cultures.
* Modern office with state-of-the-art tools – our office is located in the center of Dublin and is fully equipped to support our day-to-day activities.
* Ongoing training and education – We offer unique internal/external training opportunities and development programs. Constant training available so employees remain the best-skilled in the market!
* Entertaining and fun events – We organize team building workshops and social events, and an annual offsite trip.
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