Policy Review Specialist

Location West Sussex
Discipline: Claims
Job type: Permanent
Salary: £21000 to £0
Contact name: Matthew Gowan
Contact email: matthew@weareedenbrook.com
Job ref: J3642
Published: 12 days ago
Policy Review Specialist Haywards Heath £21,000 Working with a commercial insurance group experiencing significant regional growth, are seeking an individual to join the Policy Analysis Team to manage referrals from a variety of sources relating to misrepresentation, non-disclosure and potential indemnity concerns, within agreed authority levels and within agreed SLA. Key Responsibilities & Accountabilities: • Investigate all cases of potential misrepresentation and non-disclosure at policy inception and claims stage through to completion received via a variety of referral sources into CFS; working to agreed SLA’s and following the Policy Validation Guide and CFS Procedure documents Investigate the validity of customers claims history by carrying out post-sale CUE (Claims Underwriting Exchange) match validation and processing any necessary changes to the policy • Investigate, through to a conclusion, policies where Quote Manipulation is suspected prior to the inception of the policy • To investigate and manage any potential voidance cases referring to Policy Analysis Level 2 or Senior for sign off • Contacting policyholders by phone and email, adhering to TCF and DPA principles, to resolve any discrepancies related to misrepresentation, non-disclosure or indemnity issues • To update and revise customers’ policy details making any necessary adjustments and cancellations • Make outbound calls to customers in relation to validation procedures/ queries whilst adhering to TCF and DPA principles • Administer and process incoming post and e-mail, including the scanning of relevant documents • Handle all complaints received effectively and efficiently adhering to Complaints policy. • Manage the delegated mailboxes ensuring all correspondence is actioned with agreed SLA’s • Promptly identifying matches that do not require further investigation and ensure closure is actioned in a timely manner, within SLA’s • Maintain positive relationships with all business employees and departments • Comply with the requirements, and act in accordance with, the Group Code of Conduct and Fitness and Propriety policies at all times • Ensure compliance with Company Policies, Values and guidelines and other relevant standards/ regulations at all times You will need to be able to display you have the following qualifications and experience: • Working in a customer services environment • Complaint handling • Good communication skills, both verbal and written • Good time management and organisation skills • Problem solving skills with the ability to adopt a logical approach to resolving problems • Good data and statistical analysis skills • Good technical skills • IT and software skills, including good Microsoft Excel and Word knowledge