Claims Administrator

**Description**:
Davies is seeking a highly organised and self-motivated professional to our Life & Health team.

In this role you will be responsible for document indexing, imaging, quality audits, data entry and processing.

**Key Responsibilities**:
We will start to build your skill set with the vision that you increase in competence across all activities in your role day to day but also broaden capacity across all administration areas.

**Inbound Document Indexing & Verification**:
Accurately and efficiently index inbound documents into document retention system

Use data entry to process information from documents to ensure accuracy

Classify, and index documents to correlating policyholder policies/claims

Understand and recognize relevant identifiers such as policy number, claim number, etc. to accurately and efficiently support all operational departments with incoming documents

Review and understand different document types, which included various legal documents

Respond promptly to internal and external customer needs and request for service assistance

Meet established productivity and quality goals

**Document and Phone Quality Audit**:
Perform quality audits efficiently and effectively

Review calls to verify correct information was provided and call was properly documented.

Reviewed completed inquiries to verify correct action was taken included follow up completed as necessary.

Draft feedback in a coaching and positive manner

Meet established productivity and quality goals

**Policy Document Processing**

Process policy documents with accuracy and clarity

Perform data entry of various types of documents

Meet established productivity and quality goals

Identify and escalate issues in a timely manner

**Claims Management and Claims Payment**

Proof of Loss Document Evaluation and set-up for identified recertifications

Correct/Update provider information

Handle Failed Faxes

Process Payments

Quarterly and Year end evaluation of 1099s

**Workflow Management**:
Manage requests and ensure they are processed efficiently throughout the working day.

**Skills, Knowledge & Expertise**:
**Collaboration**

**Decision Making Skills**

**Initiative**

**Oral Communication**

**Planning/Organizing**

**Quality**

**Written Communication**

**Knowledge of insurance and the insurance market.**

**Excellent computer literacy with fast and accurate keyboard skills**

**Data inputting experience and good data integrity**

The ability to work as part of a team

To take responsibility for your workload

Must be able to demonstrate adaptability and flexibility

Good planning and organisational skills

Previous experience working in an administration role is preferable but not essential

Is proactive and resilient, seeking to get things done and, at the same time, deal with a variety of tasks

Work to deadlines to achieve client service level agreements in a changing and demanding environment

Able to demonstrate effective management of time and resources

Can demonstrate evidence of being an effective team member, interacting positively with colleagues, and communicating effectively with diverse people

Actively seeking and responding to feedback

Ability to read and interpret correspondence with a solid attention to detail

Ability to use a keyboard and 10-key, typing a ten-key speed of 8,000 keystrokes per hour

**About Davies**:
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.

We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.

Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.