Claims Handler

CLAIMS HANDLER

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. 

Great Place to Work® 

Most Loved Workplace®  

Forbes Best-in-State Employer

Key roles

The role of the Claims Handler is to provide a quality service to the customers of leading Insurers, 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 Team Leader.

Your Responsibilities(including but not limited to)

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

• 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 

• 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 

• Successfullycontributeto the development and delivery of the Team’s Goals, Objectives and Results 

Qualifications/skills

• APA Qualification essential

• Excellent communicationandorganisationalskills

• Resilient and adaptable in a fast-paced environment

• Strong decision-making and problem-solving capability

• Ability to identify process inefficiencies and propose practical solutions

Experience

• 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 

Benefits of working for Sedgwick in Ireland

• Bike to Work Scheme

• Tax Saver Travel Scheme

• Discountedon-siteGym Membership (Dublin 4)

• Discounted onsite Montessori (Dublin 4)

• EAP – Employee AssistanceProgramme

• Health Insurance Scheme

• Life Cover

• PHI – Permanent Health Insurance

• Exams & Professional Membership Fees

• Professional and personal development opportunities

Sedgwick Ireland is regulated by the Central Bank of Ireland (CBI). This role is subject to the Minimum Competency Code (MCC) as set out by the CBI. This code sets out the minimum professional standard for any person providing certain financial services,in particular whendealing with consumers. This role is classified as a Controlled function( CF3 CF4 & CF7 )and is subject to Fitness and Probity Standards, including the requirements outlined in the Individual Accountability Framework Act 2023. Successful candidates will receive training in relation to all regulatory requirements applicable to them.