About Healix
At Healix, we safeguard people’s health and wellbeing worldwide. We provide 24/7 travel risk management, medical assistance, and claims services—supporting clients in complex, often critical situations across the globe.

We’re now looking for a Technical Claims Specialist to join our Customer Operations team, playing a key role in managing high-risk, high-value cases and driving quality and consistency in claims decision-making.

The Role
As a Technical Claims Specialist, you will act as a senior escalation point for complex travel and medical claims—providing expert judgement, clear case direction, and ensuring fair, accurate outcomes.

This is a highly collaborative role where you’ll work closely with medical teams, operations, insurers, and external partners, helping to shape decisions on some of the most sensitive and high-impact cases.

What We’re Looking For

• Proven experience in travel insurance claims and/or medical assistance claims
• Experience managing complex, high-value, and high-risk cases
• Strong understanding of medical repatriations and cost containment
• Strong understanding of claims governance and regulatory requirements (e.g. CIDRA)
• Ability to make sound decisions under pressure
• Confident stakeholder management across multiple teams and external partners
• Experience in complaints handling and resolution
• Highly organised with the ability to prioritise in time-critical situations

Our Values

• Put people first – we prioritise wellbeing and care
• Think independently – we use expertise and judgement to make the right decisions
• Earn trust – we act with integrity, transparency, and reliability

Why Join Us?

• Work on meaningful, real-world cases with global impact
• Be part of a collaborative, expert-led environment
• Opportunity to develop and grow within a specialist function
• Exposure to international cases and stakeholders

Key Responsibilities

• Act as the primary escalation point for complex and high-value claims
• Provide clear case direction, decision rationale, and reserving for challenging cases
• Manage cases involving high-risk scenarios (e.g. RTAs, adventure activities, vulnerable customers)
• Manage cases in high-cost regions (e.g. USA and other global locations)
• Manage complex medical conditions and repatriations
• Review and approve write-offs and escalations with clear recommendations
• Identify and pursue recovery opportunities
• Ensure decisions align with policy terms, CIDRA, and regulatory expectations
• Support complaint handling and resolution
• Contribute to continuous improvement of claims processes
• Build strong relationships with internal and external stakeholders
• Share insights and expertise to support wider teams and business performance

Important Information
Location: Healix International - Esher, Healix Group, Healix House, Esher Green, Esher, England, Surrey, KT10 8AB
Industry: Consultancy
Job Type: Full time
Salary: Based on Experience

Our benefits

• Commitment to career development
• Health insurance
• Vacation, Paid time off
• Retirement plan and/or pension
• Office perks
• Employee development programs
• Employee discounts
• Gym membership or wellness programs
• Opportunity to travel
• Casual dress
• Cycle to work
• Free work laptop
• Referral bonus
• Open office
• Competitive salary
• Life insurance
• Employee Assistance Scheme
• Wellbeing Scheme
• Social Opportunities
• Progression opportunities

We want to nurture this friendly and dynamic company culture so that we can continue to attract diverse talent with a breadth of knowledge and world-class skills. As a part of Healix, you can expect a range of excellent benefits and an environment where people really do care.