Company: Irish Life Group Services Limited
Full Time Permanent positionHybrid role based in our Dublin or Cork officesWhat we offer We have embraced a hybrid working model for most of our positions, which means that you can enjoy a balanced approach of working from home for part of the week and working from the office for the remainder of the week.
We offer a comprehensive benefits package including competitive salaries and bonuses, robust Learning and Development support, excellent Defined Contribution pension and comprehensive Wellbeing initiatives and support to name but a few.
Irish Life Health is part of the Irish Life Group of companies.
The Claims Operations function is looking for a motivated and driven Team Leader to join their team.
The successful applicant will be part of a driven team who ensures high quality standards are maintained at all times, working to achieve service and quality standards and striving towards the perfect customer experience.
Reporting to the Health Claim Service Manager, the Health Claims Service Team Lead will be responsible for the smooth running and overall effectiveness of a Claims Operations team.
The key responsibilities of the role will include:Focusing on delivering customer first solutions to maximise our customer experience.Day to day co-ordination of the team service levels and work load.Oversight of the service levels for our providers interaction activities (Voice & Email) and all assigned claim productivity targets, ensuring KPIs are met.Ensuring all claim payments are made to the right payee, at the right time, with a focus on accuracy.Complete governance audits for all claims and verify all minimum audit levels are met in line with our Quality Assurance Strategy.Ensure all governance requirements are adhered to and are fully auditable.Act as the first line of defence and identify any potential areas of inappropriate billing, fraud and abuse of the hospital and member claims process.Actively manage all team mailboxes in line with agreed KPIs.Identify and report on any ineffective or inefficient controls or claims processes, and provide inputs and recommendations into the correction of issues identified to Senior Management.Assist in the production and delivery of training materials for our TPA partners to ensure that the agreed processes and procedures are rolled out effectively in a controlled manner.Lead by example and uphold the standards of professionalism expected of the team.Build positive and proactive working relationships across the organisation as well as with our TPAs.Supporting the governance and oversight of ICD Coding.The Person:The successful person must hold an APA qualification (or equivalent) and will ideally have 5 years' experience in the insurance industry.
The individual selected will be customer focused and be motivated to make a difference and play a very significant part in the delivery of our business objectives.
Skills & Experience:Be a self-starter and willing to act on own initiative.Ability to manage a demanding workload while co-ordinating work effectively across the team.Ability to lead by example and drive standards of professionalism within team.Strong stakeholder management skills.Act as part of a team and give full participation and commitment to fellow team members to meet common goals.Ability to deputise and set up for Health Claims Service Manager.Experience in health insurance with an excellent knowledge of claims processes, assessment rules, policy terms and conditions is desirable.A good understanding of the principles of governance is desirable.Excellent communication and interpersonal skills.About us:Irish Life is one of Ireland's largest financial institutions with a presence across a range of financial services markets.
We are one of Ireland's leading financial services groups with over 1.5 million customers.
For over 80 years, we've been helping people to look after their life insurance, pension and investment needs, and more recently their health insurance.
It is a subsidiary of Great-West Lifeco and a member of the Power Financial Corporation group of companies.
We are proud of our culture of developing and supporting the growth and professional development of our people.
The focus has resulted in a team of top talent with high standards, positioning us at the forefront of our industry.
The company reserves the right to draw up a shortlist as part of the selection process.
Where Agency assistance is required the Irish Life Recruitment Team will engage directly with suppliers.
Unsolicited CVs / profiles supplied to Irish Life by Recruitment Agencies will not be accepted for this role.
Irish Life is proud to be an Equal Opportunities employer.
We have created an environment of inclusion and growth to help people achieve their potential, to ensure they can bring their whole selves to work and to feel valued.
We celebrate diversity of thought and perspective and want all of our employees to feel valued, respected and supported.
If you require any accommodations during the recruitment process please contact ****** and we will be delighted to ensure you are fully supported to be your best.
ILFS supports Equal Opportunity and is regulated by the Central Bank of Ireland.
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