# Principal Client Services Specialist – Claims

**Company**: Howden
**Location**: Reigate
**Experience**: senior
**Job type**: full-time
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://hyperiongrp.wd3.myworkdayjobs.com/en-US/hyperion_external/job/Reigate--Regus/Principal-Client-Services-Specialist_R0019872-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_5bc31b22-75b

## Description

Howden is a global insurance group with employee ownership at its heart. Together, we have pushed the boundaries of insurance. We are united by a shared passion and no-limits mindset, and our strength lies in our ability to collaborate as a powerful international team comprised of 24,000 employees spanning over 56 countries.

The ‘Principal Client Services Specialist – Claims’ provides expert, client-focused support across complex Group Income Protection claims, associated absences and early-intervention pathways. The role acts as a trusted point of contact for clients, HR Business Partners, benefit teams, insurers and other relevant stakeholders.

**Key Responsibilities**

- **Technical Claims Guidance & Case Management**

- Act as a key point of contact for technical guidance and recommendations relating to Group Income Protection claims and associated absences.

- Provide informed, practical guidance to clients, HR Business Partners and benefit teams throughout the claims journey.

- Manage a varied portfolio of active, pending, appealed and rehabilitation-related cases.

- Provide guidance on complex scenarios, including linked absences and claims, late notifications, declined claims, settlements, payroll queries, proportionate benefit, direct payment arrangements, return-to-work planning and end-of-claim scenarios.

- Identify emerging issues, dependencies or delays and take appropriate action to progress cases or escalate concerns.

- Recognise where decisions or advice must remain with the insurer, employer, occupational health provider or another specialist party.

- **Absence Management & Early Intervention**

- Apply a strong understanding of effective absence management and early-intervention principles when reviewing cases.

- Help client contacts identify appropriate support pathways for employees experiencing an absence.

- Provide guidance on whether rehabilitation, occupational health, insurer intervention or another form of assistance may be appropriate.

- Encourage early notification and engagement to support timely intervention and sustainable return-to-work outcomes.

- Coordinate activity between insurers, occupational health providers, employer stakeholders and internal colleagues.

- Support stakeholders in managing expectations sensitively and realistically, particularly where claim outcomes remain uncertain.

- **Claims Submission & Progression**

- Facilitate the claims process from initial notification through to the conclusion of the claim.

- Issue the appropriate claim, rehabilitation or supporting documentation and review completed forms for missing, inconsistent or incomplete information.

- Work with HR teams, employees and other stakeholders, as appropriate, to obtain information required to progress the case.

- Liaise with insurers to submit and progress claims, obtain updates and resolve outstanding requirements.

- Proactively chase insurers and other parties where information, decisions or actions are overdue.

- Coordinate claims calls and case reviews, ensuring interested parties receive clear, accurate and timely updates.

- **Claim Decisions, Payments & Reviews**

- Review claim acceptance decisions and associated payment information.

- Check benefit and payment calculations for accuracy, including proportionate benefit calculations where applicable.

- Confirm relevant outcomes, benefit changes and review requirements to the appropriate HR and benefits stakeholders.

- Track insurer review dates, escalation dates and potential claim termination dates.

- Investigate and help resolve payment, payroll and benefit discrepancies.

- Maintain appropriate oversight of claims in payment through to conclusion, ensuring material changes are communicated and documented.

- **Declined Claims, Appeals & Complaints**

- Explain declined claim decisions clearly and sensitively to relevant client stakeholders.

- Provide guidance on available next steps and the further medical or supporting evidence that may be relevant when considering a challenge.

- Coordinate and submit appeals or complaints to insurers where required, ensuring submissions are complete, clearly presented and supported by available evidence.

- Track potential and submitted appeals, proactively following up with insurers and keeping relevant stakeholders informed.

- Escalate material delays, service concerns or potential poor outcomes through the appropriate internal and insurer channels.

- **Stakeholder Credibility & Relationship Management**

- Build trusted and credible relationships with clients, HR Business Partners, benefits teams, insurers, occupational health providers and internal colleagues.

- Operate as an accessible and responsive point of contact for technical and case-specific queries.

- Communicate confidently and assertively when challenging delays, resolving ambiguity or securing actions from stakeholders.

- Adapt communication to differing levels of knowledge and experience of Group Income Protection.

- Lead or contribute to case-review meetings and client discussions covering scheme performance, claims trends, recurring challenges and improvement opportunities.

- Represent Client Services positively and ensure every interaction reinforces confidence in the quality of the wider service.

- **Governance, Controls & Record Keeping**

- Maintain complete, accurate and up-to-date case records and claims trackers.

- Record the status of claims in assessment, claims in payment and other supported absences, including review dates, actions, escalation points and anticipated termination dates.

- Ensure roles and responsibilities are clearly understood and documented across the parties involved.

- Apply agreed processes and controls consistently, while using judgement where individual circumstances require a tailored approach.

- Handle personal, medical, employment and financial information with a high degree of discretion and in accordance with applicable confidentiality and data-protection requirements.

- Support peer review, quality assurance and case audit activity, identifying gaps in processes, controls or ownership.

- Provide clear management information on case volumes, status, service issues, risks and emerging themes.

- **Service Delivery & Continuous Improvement**

- Deliver a responsive, client-centred service, prioritising activity according to urgency, impact and required outcome.

- Manage competing priorities while maintaining accuracy, follow-through and clear communication.

- Identify recurring causes of delay, duplication or stakeholder confusion and recommend practical improvements.

- Support the development and maintenance of process maps, standard operating procedures, guidance and communication materials.

- Monitor insurer service delivery and raise concerns where expected standards are not being achieved.

- Support educational activity for HR, benefits and other client stakeholders and contribute to discussions on claims trends, absence themes and earlier intervention.

- Ensure the delivery model remains proportionate, efficient and aligned with good client and member outcomes.

**Skills, Experience & Behaviours**

- Strong technical knowledge of Group Income Protection claims and the end-to-end claims process.

- Demonstrable experience of managing complex claims or absence-related cases within an insurer, intermediary, consultancy, employer or related environment.

- Sound understanding of effective absence management, rehabilitation, occupational health and early-intervention pathways.

- Experience of interpreting policy terms, claim requirements and insurer decisions, including reviewing benefit calculations and payments.

- Confidence in managing declined claims, appeals, complaints and complex stakeholder conversations.

- Excellent organisation and case-management skills, with the ability to manage multiple deadlines, review dates and outstanding actions.

- Strong written and verbal communication skills, with the ability to explain technical matters clearly and practically.

- Highly trustworthy, discreet and professional, with a strong understanding of confidentiality and sensitive information handling.

- Assertive and confident, able to challenge constructively and influence through technical credibility.

- Client focused, collaborative and committed to continuous improvement.

- Experience within the group risk, employee benefits or workplace health market is desirable.

- Knowledge of Group Life Assurance and Group Critical Illness claims is desirable.

- Relevant industry or professional qualifications, or a willingness to work towards them, is desirable.

**What do we offer in return?** A career that you define. At Howden, we value diversity – there is no one Howden type. Instead, we’re looking for individuals who share the same values as us:

- Our successes have all come from someone brave enough to try something new

- We support each other in the small everyday moments and the bigger challenges

- We are determined to make a positive difference at work and beyond

## Skills

### Required
- Group Income Protection claims
- absence management
- rehabilitation
- occupational health
- case management
- communication
- stakeholder management

### Nice to have
- group risk
- employee benefits
- workplace health
- Group Life Assurance
- Group Critical Illness claims

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