Accident & Health Claims Handler

The role

You will handle Accident and Health claims from first notice of loss through to settlement. You will review medical evidence, communicate with policyholders, and make independent decisions to support the launch of ClaimSorted's first A&H account.

What you will do

• Handle A&H claims end to end, from first notification of loss through to settlement
• Review and interpret medical evidence to assess claims against policy terms
• Communicate with policyholders throughout the claims journey
• Verify coverage and make confident, independent decisions within your authority
• Set appropriate reserves and manage claims to closure targets
• Proactively manage outstanding claims and chase evidence where needed
• Identify potential fraud indicators and escalate appropriately
• Maintain accurate and thorough claims records for audit and compliance
• Help shape processes for the first A&H account and flag inefficiencies

Required qualifications

• Based in the UK with work authorisation
• Experience handling Accident and Health claims
• Strong technical knowledge of medical evidence and A&H claim assessment principles
• Confident making independent decisions and applying judgement
• Excellent communication with policyholders, clients, medical professionals and colleagues
• Strong organisation and ability to prioritise independently
• Comfortable using data to make decisions
• Team-oriented, hardworking and ambitious

Nice to have

• Experience leading, mentoring or coaching others
• Startup or high-growth experience

Benefits

• Competitive salary beyond the industry standard
• Quarterly performance bonus of up to 15% of quarterly salary
• Generous, transparent equity participation
• 28 days annual leave
• Private medical insurance
• Pension contributions
• Company offsites
• Accelerated promotion track in a high-growth environment
• Training and support in people management, performance management, data, quality and capacity planning

About the company

ClaimSorted is a high-growth InsurTech company that handles claims and manages risk for large insurers and Fortune 500 companies. It grew 10x in the past year and is backed by Y Combinator, Atomico and Eurazeo.