About Company
Join Career.zycto, where precision meets purpose in the dynamic world of claims management. We empower our team to make informed decisions that directly impact our clients’ peace of mind. For a Claims Adjuster, our environment fosters continuous learning and provides robust frameworks for meticulous review and approval processes. We pride ourselves on cultivating a supportive culture where attention to detail is celebrated, and professional growth is actively encouraged. If you’re driven by fairness, accuracy, and efficiency, Career.zycto offers the perfect platform to refine your expertise and advance your career in a collaborative London setting.
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Job Description
Career.zycto is seeking a meticulous and experienced Claims Adjuster specializing in Review & Approvals to join our thriving team in the heart of Soho, London. In this critical role, you will be instrumental in safeguarding the integrity of our claims process, ensuring all claims are thoroughly investigated, accurately assessed, and processed in strict adherence to company policies, regulatory guidelines, and industry best practices.
We are looking for a professional who possesses a keen eye for detail, exceptional analytical skills, and a deep understanding of various insurance products and claim types. You will be responsible for reviewing complex claims, identifying potential discrepancies, mitigating risks, and making informed decisions regarding claim approvals or denials. This position requires a proactive individual capable of working autonomously while also collaborating effectively with adjusters, legal teams, and other stakeholders to resolve complex issues and provide clear, concise communication throughout the claims lifecycle. If you thrive in an environment that values precision, fairness, and continuous improvement, and you’re ready to make a significant impact on our operational excellence and client satisfaction, we encourage you to apply. This is an unparalleled opportunity to advance your career with a forward-thinking organisation committed to fostering talent and delivering exceptional service.
Key Responsibilities
- Conduct thorough and impartial review of submitted claims documentation for accuracy, completeness, and compliance with policy terms and conditions.
- Verify coverage, determine liability, and assess the extent of damages or loss in accordance with established guidelines.
- Approve or deny claims based on comprehensive analysis, ensuring all decisions are well-documented and justified.
- Identify and investigate potential fraud, inconsistencies, or policy breaches, escalating complex cases to senior management or specialized units as necessary.
- Communicate claims decisions clearly and empathetically to policyholders and other parties, providing detailed explanations for approvals, denials, or settlement offers.
- Collaborate with other claims adjusters, legal counsel, and external experts to resolve intricate claims issues.
- Maintain accurate and up-to-date claim files and documentation within the claims management system.
- Stay abreast of changes in insurance laws, regulations, and industry trends to ensure continuous compliance and best practices.
- Participate in claims audits and contribute to process improvement initiatives aimed at enhancing efficiency and accuracy.
- Negotiate fair and equitable settlements when applicable, adhering to company financial parameters.
Required Skills
- Proven experience as a Claims Adjuster with a focus on review and approvals, preferably within the UK insurance market.
- Strong understanding of insurance policies, coverage types, and claims processing procedures.
- Excellent analytical and problem-solving abilities with a meticulous attention to detail.
- Exceptional verbal and written communication skills, capable of explaining complex information clearly.
- Proficiency in claims management software and Microsoft Office Suite (Word, Excel, Outlook).
- Ability to work independently and manage a diverse caseload effectively.
- Demonstrated integrity and ethical conduct in all claims handling activities.
Preferred Qualifications
- ACII or equivalent insurance qualification.
- Bachelor's degree in Business, Finance, Law, or a related field.
- Experience with a variety of insurance lines (e.g., property, casualty, liability).
- Familiarity with UK regulatory frameworks relevant to insurance claims.
- Proficiency in a second language.
Perks & Benefits
- Competitive salary and performance-based bonuses.
- Comprehensive private medical and dental insurance.
- Generous pension contribution scheme.
- 25 days annual leave plus bank holidays, with options to purchase additional days.
- Professional development opportunities and funding for industry qualifications (e.g., ACII).
- Life assurance and income protection.
- Employee assistance program for personal and professional support.
- Cycle to Work scheme and discounted gym memberships.
- Regular social events and team-building activities in a vibrant Soho location.
- Modern, collaborative office environment with excellent transport links.
How to Apply
If you are a highly motivated and detail-oriented Claims Adjuster ready to take on a pivotal role in a dynamic team, we invite you to apply. Please click on the application link below to submit your CV and a cover letter outlining your relevant experience and why you are the ideal candidate for this position.
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