Complaints Specialist (UK/IRE) - APA/CIP Qualified

Posted 14 Days Ago
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Hiring Remotely in Ireland, IRL
Remote
Junior
Artificial Intelligence • Fintech • Insurance • Software
The Role
Owns insurance complaint investigations from intake through resolution, prepares evidence-based responses, manages regulatory and partner deadlines, and maintains accurate records. The role handles Ombudsman and regulator requests, performs root-cause analysis, recommends claims-process improvements, supports complaint procedures, and provides feedback to claims and operational teams. It also assists with related technical claims activities, including quality assurance, fraud, recoveries, and payment authorizations.
Summary Generated by Built In
Turning risk into opportunity

Human progress runs on a single trade: risk for opportunity. Every venture worth doing - a new business, a new home, an exciting trip - means accepting the chance it goes wrong. Insurance is what lets us take those chances anyway, and the claim is the moment it either delivers on that promise or fails to.

We're rebuilding that moment. ClaimSorted is an AI-native claims solution for insurers and large corporates that resolves claims faster, fairer, and more reliably than the industry ever has. Handle risk that well, and people are free to take on more of it - that's how you push society toward opportunity: not by eliminating risk, but by making recovery so fast and certain it stops being a reason to hold back.

We're one of the fastest-growing InsurTechs - scaling 10x YoY, processing hundreds of millions in claims payouts, and backed by the world's leading investors: Y Combinator, Atomico, and Eurazeo

What we are looking for

We are looking for an experienced Complaints Specialist to join our talented Technical Claims Support Team.

You will take ownership of complaints relating to insurance claims, ensuring they are investigated thoroughly, responded to fairly and managed within applicable regulatory, partner and internal deadlines.

You will investigate the underlying claim, gather and review supporting evidence, prepare clear and robust responses, and work closely with our insurance partners to ensure regulatory requests are handled accurately and on time.

You will act as a subject matter expert for complaints, using complaint outcomes and trends to identify opportunities to improve claims handling and customer outcomes.

As part of the wider Technical Claims Support Team, you will also support other technical claims activities where required, including Quality Assurance, Fraud, Recoveries and Payment Authorisations.

Responsibilities
  • Own and investigate insurance complaints from receipt through to resolution.

  • Prepare clear, accurate and evidence-based written complaint responses.

  • Investigate and prepare responses to complaints and information requests received from applicable regulatory bodies and Ombudsman services.

  • Maintain oversight of complaint and regulatory deadlines, ensuring matters are progressed and escalated in sufficient time for any required insurer or partner review.

  • Work closely with insurance carriers and partners on complaints requiring their input, approval or regulatory submission.

  • Maintain complete and accurate complaint records, investigation notes, outcomes and supporting evidence.

  • Complete root-cause analysis and recommend improvements to claims processes, controls and customer communications.

  • Provide constructive feedback to Claims Handlers and operational teams where complaint investigations identify quality or knowledge gaps.

  • Maintain knowledge of relevant insurance complaint-handling requirements.

  • Support the development and maintenance of complaint procedures, templates and internal guidance.

  • Work collaboratively across Claims Operations and the wider Technical Claims Support Team.

Skills and Experience Required
  • Based in the UK or Ireland with work authorisation

  • A minimum of 2 years' experience handling insurance complaints.

  • Must be APA or CIP qualified

  • Strong knowledge of insurance claims handling and complaint investigation.

  • Experience investigating complex claims and complaints and reaching fair, evidence-based conclusions.

  • Excellent attention to detail, particularly when reviewing policy wording, claim documentation and regulatory correspondence.

  • Highly organised, with the ability to manage multiple complaints and regulatory deadlines simultaneously.

  • Ability to identify root causes and use complaint findings to recommend improvements to claims processes and customer outcomes.

  • Comfortable working in a fast-paced, high-growth environment where processes and priorities may evolve.

  • A team player who is willing to support colleagues and the wider Technical Claims Support Team to achieve results.

Compensation & Benefits
  • Competitive salary beyond the industry standard

  • Quarterly performance bonus: up to 15% of quarterly salary

  • Equity participation: stock options as an early-stage team member

  • Health insurance

  • Pension contributions

  • 28 Days Annual Leave (UK) / 20 Days Annual Leave (IE)

  • Accelerated promotion track in a high-growth environment

Skills Required

  • Based in the UK or Ireland with work authorisation
  • At least 2 years of experience handling insurance complaints
  • APA or CIP qualification
  • Strong knowledge of insurance claims handling and complaint investigation
  • Experience investigating complex claims and complaints and reaching fair, evidence-based conclusions
  • Excellent attention to detail when reviewing policy wording, claim documentation, and regulatory correspondence
  • Ability to manage multiple complaints and regulatory deadlines simultaneously
  • Ability to identify root causes and recommend improvements to claims processes and customer outcomes
  • Ability to work in a fast-paced, high-growth environment with evolving processes and priorities
  • Team-oriented approach and willingness to support the wider Technical Claims Support Team
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The Company
20 Employees
Year Founded: 2024

What We Do

ClaimSorted is an AI-first Third Party Administrator (TPA) that helps insurance companies process claims by outsourcing operations, using AI and experts to speed up assessment, reduce costs, and improve customer experience.

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