Claims Adjuster

3 weeks ago


London Area, United Kingdom The Emerald Group Ltd, Search and Selection Full time

POSITION: UK Property and Liability Claims Adjuster

ASSIGNMENT NO: 27605

LOCATION: London


Purpose:

  • To be responsible for assessing and processing of complex and over delegated authority UK Property/Liability Claims and for the processing, adjusting and management of existing claims, principally across the UK Property/Liability Claims book
  • To ensure that all UK Property/Liability Claims are dealt with efficiently and fairly, in line with insurance cover, binder requirements and all associated compliance rules and regulations
  • To actively handle Coverholder relationships and assist the Business support team in bringing new business to the team
  • To manage Coverholder accounts including in depth knowledge of claims Bordeaux, reconciliation and processing claims numbers through our systems
  • To actively report as required on large and complex claims
  • To have an in-depth knowledge of Property/Liability Claims along with a knowledge or understanding of Agricultural property claims
  • To maintain an effective reserving policy
  • To assist and support the shaping, implementation and delivery of a claims strategy in association and support the UK claims team, Underwriters, Divisional and Claims Departments’ Business Plans
  • To manage effective reporting
  • Experience of Pre-litigation


Key Result Areas:

Claims Settlement and Management:

  • To handle, offer direction and to take responsibility for complex and over delegated UK Property/Liability Claims and demonstrate the ability to assess risks using sound judgement, and in accordance with all approved procedures, and within claims authority limits
  • Referring appropriately for advice or for instructions regarding to claims over the jobholder’s authority limit
  • Supervision and maintenance of all computer and paper-based records in relation to claims
  • Management Information
  • To support the Division by providing analysis of the account for meetings and development of the business plan
  • Preparation of monthly claims reports Supervision and maintenance of all computer records in relation to claims
  • Assist with statutory reporting under FSA and as appropriate NBB rules and deals with compliance issues
  • Manage claims Bordeaux including reconciliation and processing claims numbers through appropriate systems

Other tasks:

  • To assist the claims management in the maintenance and adherence to the regulatory and legal processes impacting claims, and to ensure compliance with all areas of the yacht claims function
  • To assist in in the development and maintenance of the UK Claims strategic plan, and to be involved in working groups as may be necessary to all areas of the Divisions development
  • Assisting in keeping underwriters abreast of larges losses, reserves and relevant market issues


Key Competencies:

Job Specific:

  • Able to demonstrate a first class application of insurance principles, principally in the area of UK Property/Liability Claims
  • Experienced and all round knowledge of the UK Property/Liability Claims insurance market
  • To be able to illustrate excellent facilitation, analytical, investigative and negotiation skills
  • Problem solving and finding creative solutions.
  • Ability to build strong relationships with key TPA`s, Coverholders, brokers and clients
  • Able to set vision and strategy alongside UK Motor Claims management and underwriting colleagues
  • A good understanding of the UK Market
  • Experience of Pre-litigation

Generic:

  • Well established and class specific understanding of insurance principles
  • Delivery of high levels of customer service and client experience
  • Attention to detail and accuracy
  • Strong verbal and written communication skills
  • Ability to make strategic and operational decisions based on the facts
  • Relationship building
  • Methodical and organised working practices to meet deadlines

Key Interfaces:

  • Internal: Claims Manager, the Claims Director, The Head of Technical Claims, Property and Liability Class Underwriters, Divisional Claims Managers, Finance and Senior Personnel in all departments
  • External: Re-insurers, Brokers, Insured’s, Third Parties representatives, Service Providers Consortium members and Directors, lawyers and Surveyors

Values & Behaviours:

The behaviours that the job holder must exhibit for desired cultural fit.

  • Client Understanding: Responsive to their clients’ needs
  • Respecting Each Other: Lead, listen and coach with positive intent, inclusive and cherish difference
  • Probity: Taken accountability
  • Kaizen: Continuously look for areas to improve
  • Courage to Challenge: Have the courage to make bold decisions and is not afraid to do something different



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