• Assisting with conducting market reviews of group risk and healthcare benefits and reporting to clients with recommendations, comparisons between providers and advice in relation to their risk and healthcare benefit policies. • Explaining both financial and non-financial impacts of benefit policies.• Developing relationships with clients through attendance at meetings following market reviews. • Placing new cover/policies and transferring cover where appropriate.• Dealing with renewals and mid-term alterations for a portfolio of clients.• Developing relationships with insurers and multinational pooling providers to achieve best client service and innovative solutions for clients. • Assisting with the provision of ad hoc risk and healthcare consulting advice to clients and Mercer colleagues.• Working as part of a global team to service the Irish entities of our multinational clients.• Assisting clients in the handling of difficult claims.• Maintaining company and regulatory standards/requirements.

• Making analytical decisions on Death claims ensuring claims are progressing in line with company objectives. • Managing the Death claims process from cradle to grave and ensuring the claims log is updated and all time and agreed SLA’s are met.• Assisting in the maintenance and development of a robust claims and complaints system.• Reviewing and preparing appropriate responses to customer complaints & escalating potentially fraudulent or contentious claims.• Monitoring and controlling the reserve development on all Death claims. • Managing relationships with all internal and external stakeholders.• Carrying out Third Party claim audits as needed and ensuring efficient and accurate completion of audit paperwork and supporting documentation.

• Assessing a large portfolio of Death and Specified Illness claims within a busy claims department. • Providing high quality decisions across all case types within agreed authority & reinsurance limits.• Dealing with decline Death and Specified Illness claims referring cases to Chief Medical Officer when required.• Assisting in resolving disputed/litigated claims as necessary. • Handling and resolving adviser and customer queries in an efficient and professional manner.• Working on own initiative to meet agreed service standards.• Supporting the continuous improvement agenda within the team. Identifying and delivering potential improvements in service levels by improving processes, systems and development of core skills.• Supporting team through change process in relation to new products, technology, regulatory requirements.• Supporting the management team with technical input at internal & external meetings as appropriate.

• Assessing notified Death claims by requesting and assessing appropriate information and, in conjunction with the Claims Manager, decide how each claim should be handled.• Providing advice to our client's policyholders and intermediaries on a range of medical and legal requirements that may be required as part of a claims assessment.• Assessing claims according to best industry practice and in accordance with legal and compliance, ensuring that all genuine claims are paid promptly and all fraudulent claims are identified quickly.• Carrying out administration surrounding the claim to the highest standard, paying particular attention to accuracy and detail.• Maintaining effective working relationships with internal and external customers, including Claimants, Life Offices, Reassurers, Intermediaries and the Company Chief Medical Officers.

• Undertaking initial assessments of new disability claims within a busy Employee Benefits department.• Medically assessing a large portfolio of disability claims on Irish and International schemes / policies as they occur and at claim review stage and making recommendations and decisions to the Head of Claims and Reinsurers.• Proactively case managing all disability claims on an ongoing best practise basis and in a timely manner.• Ensuring that constant communicate is exercised, both in writing and orally, with Claimants, Consultants, Reinsurers and Sales & Technical teams.• Arranging medical information or examinations as required and requesting medical reports, clinical files from GP practices/ Consultant practices on a daily basis.• Adopting the most appropriate professional and rehabilitation services in order to achieve the best claim outcome. • Assisting with the resolution of disputed/appealed claims with the Legal and Compliance team. • Performing other Claims related duties within the Employee Benefits department as required.• Participating in improvements to procedures, documentation, communications etc., in relation to Claims.

• Managing a more complex portfolio consisting of a combination of Death, Terminal Illness, Total and Permanent Disability, Critical Illness and Income Protection claims. • Dealing with technical and governance related claims issues. • Mentoring and coaching Claims assessors within the team while guiding the team to identify genuine and non-genuine claims.• Ensuring the team are assessing claims appropriately using the necessary and required medical, financial, investigative and legal material. • Liaising with claimants, advisers, legal representatives, underwriting and other internal/external third parties. • Assisting in resolving disputed/litigated claims with the Complaints Resolution team. • Providing support and assistance to the Team Manager. • Identifying and initiating process improvement opportunities within the claims department. • Applying thorough non-disclosure investigation to fraudulent claims as required. • Participating in ongoing Claims Transformation projects as required. • Ensuring that the quality, accuracy and detail of the team’s claims assessments meet or exceeds TAL’S performance standards.• Generation of daily reports to ensure team workload is captured and monitored appropriately in accordance with TAL’s current service level agreements.• Allocating new claims to the team on a daily basis. • Attending and participating in the daily Team Manager’s huddle with the Head of Claims.• Providing technical support to team members, in situations such as complex claims, claims liability determination, claims strategy and resolution of customer complaint escalations. • Undertaking team coordination and ensuring that the team are regularly aware of, and engaged in, all relevant company communications. • Managing the teams complete Portfolio by screening all claims within the team to ensure that ongoing claims are being effectively managed in conjunction with the TAL’s claims processes and claims duration.

•Managing a large portfolio of claims including Income Protection, Trauma, Terminal Illness, TPD and Death claims. •Assessing Liability of New Claims and making decisions. •Conducting the Medical & Financial Assessment of Claims.•Implementing on-going Claims Strategies and Claims Management. •Investigations of claims. •Making sure that premiums have been paid and that the policy covers the claim. •Arranging payments on straightforward claims.•Referring doubtful, complex or high-value claims to a Team manager. •Performing general clerical duties to include, but not limited to, bookkeeping, copying, faxing, mailing and filing.•Maintain confidentiality in all aspects of client information.•Prepare responses to correspondence containing routine inquiries. •Support the Team Managers in assigned project based work.•Create and modify documents such as invoices, reports, letters and financial statements using word processing, spread sheet, database and other presentation software such as Microsoft Office.

• Assisting the Case Managers in a busy Claims Department.• Oversee all aspects of Claims Co-ordination.• Creation of new claims and claim notifications.• Answer Telephones and transfer to appropriate staff member.• Performing general clerical duties to include, but not limited to, bookkeeping, copying, faxing, mailing and filing.• Maintain confidentiality in all aspects of client information.• Open sort and distribute incoming correspondence, including faxes and email.• Prepare responses to correspondence containing routine inquiries. • File and retrieve Claim documents, records and reports.• Support the Team Managers in assigned project based work.• Create and modify documents such as invoices, reports, letters and financial statements using word processing, spread sheet, database and other presentation software such as Microsoft Office.As a Case Manager, duties include:• Checking claims • Carrying out Initial Assessments of Claims and conducting initial interviews over the phone with claimants• Making sure that premiums have been paid and that the policy covers the claim. • Arranging payments on straightforward claims.• Referring doubtful, complex or high-value claims to a Team manager

• Leading and managing people by delegating responsibility and authority when necessary.• Maintaining the dispensary area in an organized and professional manner by co-ordinating activities, meetings and training programs.• Managing dispensary merchandising by monitoring stock control on a day to day basis, which involves checking Invoices, Credits regarding stock.• Implementing and maintaining a Patient filing system, both paper and computer. • Communicating constantly with Clinics, Hospitals and Nursing homes through Fax, Email and Phone.• Establishing all Customer Requirements and dealing with Customer complaints.• Assisting the Pharmacists with all Dispensary procedures, including checking claims and resubmitting rejected claims.• Assisting the Pharmacist with Webster packing on a daily basis.• Dispensing with due care under the supervision of the Pharmacist.

• Assisting the Pharmacist with the day to day running of the dispensary.• Assisting the Pharmacist regarding checking orders / filing invoices / photocopying invoices regarding the necessary medical schemes.• Checking claims / resubmitting rejected claims.• Dispensing with due care under the supervision of the Pharmacist.General Pharmacy: • Providing essential advice regarding OTC products whilst maintaining excellent Customer Service. • Maintaining good stock control and rotation.• Merchandising.• Placing / Receiving and checking orders off the back office system.• Dealing with the cash register and responsible for opening and closing the Pharmacy.