Neil Waterson
Summary
Professional with extensive experience within insurance, skilled in Microsoft Office and effective communication. Proven ability to lead teams and manage projects, emphasizing training and development. In-depth knowledge of claims management and healthcare procedures.
Experienced Claims Assessor committed to delivering fair and accurate claim evaluations. Known for resolving complex cases swiftly and improving claim processing times. Skilled at building strong relationships with clients and colleagues, ensuring smooth claims experience.
Overview
25
25
years of professional experience
1
1
Certification
Work history
Claims Assessor
Accenture
Homeworker
01.2025 - 07.2025
- Engaged on a contractor basis working remotely for a leading life assurer, I manage Individual Protection claims from initial notification through to the assessment, including obtaining further information in relation to claims, to final settlement within an agreed level of authority and within service standards
- Resolved issues promptly by liaising with relevant departments.
- Worked under strict deadlines without compromising quality of work or client service.
- Verified the validity of insurance claims presented for assessment, ensuring fair practice.
- Liaised with policyholders for claim resolution and customer satisfaction.
- Demonstrated thorough understanding of policy terms and conditions for accurate assessments.
- Reviewed medical records meticulously for proper claim evaluations.
- Utilised specialised software applications effectively for efficient case management.
- Conducted in-depth investigations into disputed insurance claims.
- Responded to telephone enquiries from clients, vendors and members of public.
- Analysed complex data to identify fraudulent claims.
- Assisted colleagues during peak periods, fostering team cohesion and productivity boost.
- Attended training sessions regularly to keep abreast of industry changes and regulations.
Emergency Medical Dispatcher
East of England Ambulance Service
Norwich, Norfolk
03.2009 - 07.2025
- Coordinated incident management for up to 60 resources.
- Utilised computer-aided dispatch and digital radio communications for effective resource deployment.
- Make swift decisions to guarantee appropriate care for critically ill patients.
- Manage high-stress situations effectively, ensuring smooth operations during peak hours.
- Coordinated with police and fire departments when necessary, fostering interdepartmental cooperation during crises.
- Trained new dispatchers to improve overall team performance.
- Updated all incident records promptly, aiding in subsequent service reviews and improvements.
- Facilitated communication between hospitals and crews for efficient patient handovers.
- Participated regularly in training sessions to maintain knowledge of current protocols.
- Maintained close contact with field units to monitor effectiveness of response and adjust support resources.
- Staying calm when coordinating response to emergencies.
- Dispatched ambulances swiftly providing accurate, concise information on patient needs to optimise end care.
- Adhered strictly to privacy laws whilst handling sensitive information, preserving patient confidentiality at all times.
- Used mapping software efficiently, enabling swift location of emergency scenes.
Claims Manager
Morgan Price International Healthcare Limited
Wymondham
04.2018 - 03.2019
- Reporting to the Head of Underwriting & Claims, responsible for setting up and managing the new UK Claims team, including the negotiating of contracts, offering a wide variety of claims services for the company's extensive product portfolio
- Leading a team of 10 (8 UK and 2 Dubai based) to deliver a high-quality, timely and proactive claims management service to policy holders, whilst minimising total claims costs using best practice controls
- Implemented a new Claims system, from build to go live, including full portfolio bordereaux management
- Evaluating coverage, liability and exposure for each claim and settling claims promptly when liability is agreed
- Reviewing reserves on a regular basis and reassessing when further information becomes available
- Managing experts and third-party service providers to ensure high level of service
- Promoting and delivering a continuous improvement culture within the Claims function to deliver a superior service
- Resolving disputed claims amicably but defending where necessary and adhering to a fair complaint handling policy
Scheme Underwriter
AIG
Brighton
01.2008 - 06.2008
- Part of an 8-strong team reporting to the Group Risk Underwriting Manager, responsible for underwriting Group Life, Pensions, Income Protection, Disability & Death in Service products within agreed authority limits
- Collated data to determine and assess risk on new business as well as processing amendments and revisions to existing schemes
- Produced and presented monthly performance reports to senior management
- Provided technical support to the branch network and broker consultants
Claims Technician
Marsh Ltd
Norwich
01.2007 - 12.2008
- Reported to the Claims Manager, responsible for providing a claims service, from initial advice to settlement, for corporate clients and specialising in the aviation sector
- Provided advice to clients and colleagues on current market developments to enhance service delivery and facilitate claims payments
- Maintained strong working relationships with clients through prompt communication and face to face meetings
- Provided technical analysis and litigation support to clients
- Established and maintained claim files, processed claim information and coordinated internal claim activities
- Ensured accurate claim payments & established credit lines
Claims Assessor
Legal & General Assurance Society
Hove/Ipswich
01.2001 - 12.2006
- Reported to the Claims Manager, responsible for advising on all the company's products from Group Risk to Individual Protection Products and Pensions
- Initially joined as a Service Consultant, progressing to Senior Service Consultant and then promotion to Claims Assessor
- Obtained and collated information for the assessment and administration of claims and authorised urgent casework to set guidelines
- Responsible for Mortgage Protection and Waiver of Premium of Life and Pension Plans
- Coordinated the smooth transfer of Pension Schemes and marketed the company's online systems
- Arranged for specialist teams of investigators as required, including private investigators
- Developed strong relationships with the key broker group by providing high levels of support
Education
Certificate of Higher Education - Health Claims Management
Cardiff University
Cardiff 04.2001 - 2004
Skills
- Microsoft Office proficiency
- Communication skills
- Negotiation
- Team management
- Training and development
- Claims management
- IT competencies
- Professional ethics
- Healthcare procedures knowledge
- Liability and coverage understanding
- Medical terminology proficiency
- Insurance policy comprehension
- Claims processing
- Project management
- Claims evaluation
Certification
- Certificate in Health Claims Management
- Certified Advanced Emergency Medical Dispatcher
- FP1 Financial Services and their Regulation
References
References available upon request
Timeline
Claims Assessor
Accenture
01.2025 - 07.2025
Claims Manager
Morgan Price International Healthcare Limited
04.2018 - 03.2019
Emergency Medical Dispatcher
East of England Ambulance Service
03.2009 - 07.2025
Scheme Underwriter
AIG
01.2008 - 06.2008
Claims Technician
Marsh Ltd
01.2007 - 12.2008
Certificate of Higher Education - Health Claims Management
Cardiff University
04.2001 - 2004
Claims Assessor
Legal & General Assurance Society
01.2001 - 12.2006
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