Senior Claims Specialist
Core
Independent assessment and management of complex Life, Critical Illness, Income Protection, and Disability claims in the UK and Irish markets, combining technical judgment with client advice and process improvement.
Role type
Senior IC claims specialist (Life & Health protection)
Builds
Claims decisions, client audit findings, training programs, and workflow improvements for UK Life Branch clients
Domain
Insurance (Life & Health) / Claims Management
Deliverable
client delivery
Required skills
complex claims assessment, policy and treaty interpretation, medical and functional evidence analysis, financial and occupational underwriting judgment, client relationship management, claims auditing, technical training, process improvement, risk escalation
Preferred skills
automation and AI-supported tools usage, industry forum representation, cross-functional project leadership
Technologies
automation tools, AI-supported tools
Responsibilities
Assess and recommend decisions on large and complex claims; provide technical advice to clients; conduct client claims audits and quality reviews; deliver training and technical case discussions; implement workflow and quality control improvements; share expertise and coach colleagues
Seniority
Senior, hands-on IC