Claims Manager

2 weeks ago

Edinburgh, Edinburgh, United Kingdom Medical Protection Society Full time

We are on the lookout for a dynamic, proven and experienced Claims Manager to join our Claims Handling team in the Member, Cases and Claims division. Our Claims Managers proactively manage an active claims portfolio, maximising their strategic thinking whilst managing files efficiently to the highest standards, to achieve positive member and business outcomes.

The role requires strong negotiation skills, derived from establishing great rapport with all those involved in the claim. A great aptitude to make sound judgements with the ability to keep our members updated and reassured throughout is essential.

Working as part of a multi-disciplinary team, your success is dependent on how you build trusting relationships with those around you. You will work closely with internal stakeholders including Claims Assistants, Claims Managers and Technical Consultants and cross collaborate with other departments of the business. In addition, relationships are built and maintained with Panel ensuring our third parties also meet expectations in their service delivery and claims performance Therefore, the ability to collaborate effectively is crucial.

Supported through a technical development framework, you will have the opportunity to develop your claims portfolio across a range of complexity, value, disciplines and jurisdictions. You will also coach, develop and support other members of the multi-disciplinary team as part of your role.

Key to this role is the ability to prioritise well and work proactively across your caseload.

Role Responsibility

Directly managing acaseload of claims on an end-to-end basis with value and complexity appropriate to the level of experience

Assessing the facts, law, apportionment issues, quantum and likely costs in order to devise and implement a case management and investigative strategy proportionate to the claim

Ensuringaccurate claims estimates are set and kept up to date

Resolution of any apportionment issues

Obtaining relevant documentation and factual evidence as required from the member(s) and other witnesses

Commissioning expert reports and counsel input as required

Drafting and serving the Letter of Response

Drafting documentation as required to adhere with relevant protocols.

Proactively initiating and engaging in settlement negotiations where appropriate

The use of ADR/mediation where indicated

Ensuring a smooth transition to in-house solicitors where required

Where external litigation solicitors (MPS panel) are appointed, ensuring adherence to MPS panel requirements, retaining responsibility for strategy and costs management and providing instructions to resolution.

The Ideal Candidate

The role requires an individual with proven understanding of Clinical Negligence law/claims along with the ability to take a strategic approach to claims management.

The ideal candidate will have claims management or litigation experience with a background in clinical negligence, personal injury, or professional negligence litigation andexcellent analytical, communication and negotiation skills. We are looking for colleagues with claimant and/or defendant experience.

You'll be able to utilise your excellent interpersonal skills and demonstrate tact and empathy in your communications.The service provided to our Members is at the forefront of our claims therefore, it is essential to the role that you are able to manage a caseload proactively, working within set service standards delivering the best possible outcome for our Members.

Being able to work closely with and challenge the advice of panel where appropriate is essential in order to drive the best results for our members.

We are looking for someone who has the ambition to develop, grow and expand their knowledge across multi jurisdictions.

You would need to be comfortable having a caseload of both Dental and Medical claims of varying complexity and be able to balance conflicting priorities.

This is a rewarding role in which you'll collaborate cross departmentally working within a friendly andsupportive team.

We welcome applicants from all backgrounds, and we encourage you to apply even if you feel you do not match 100% of the technical requirements. We celebrate diversity, promote inclusivity and strive to create a work environment which ensures everyone can be heard.

Package Description
  • Hybrid working (Leeds office)
  • 11% pension contribution (3% from you, 8% from us – optional additional matched 3% contributions, e.g. 6% from you, 11% from us)
  • Annual bonus scheme - up to 15%
  • Private Medical Insurance
  • Health Care Cash Plan
  • 25 days annual leave (plus flexible bank holidays) and the option to buy or sell up to 5 days
  • 6x salary death in service
  • Career progression opportunities
  • A personal GP service enabling you to get a video consultation with an NHS-registered private GP
  • Employee Assistance Programme
  • A range of shopping discounts
About the Company

Medical Protection Society (MPS) is the world's leading protection organisation for doctors, dentists and healthcare professionals. We protect and support the professional interests of almost 300,000 members around the world, in countries as diverse as the United Kingdom, South Africa and Hong Kong.

Our philosophy is to support safe practice in medicine and dentistry by helping to avert problems in the first place. We also actively campaign for regulatory and legal reforms that benefit members and the wider healthcare professions. Membership provides access to expert advice and support together with the right to request indemnity for complaints or claims arising from professional practice.

We continue to invest in our team to ensure that we are delivering the best possible service for members. This was recognised in 2016 when we were awarded an Investors in People Silver award.

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