Technical Claims Specialist

2 weeks ago

London, Greater London, United Kingdom SCOR Full time
As a member of SCOR's P&C Claims Team the Technical Claims Specialist will:

  • Operate within SCOR's segmented model, adjusting claims within authority limits (including adjustment on ECF where SCOR is slip lead) as well as to pre-book (on non ECF), triage and refer large and complex cases to Claims Experts in line with triage rules
  • Work in partnership with Claims Experts to handle a case load principally of Energy and Property claims with mínimal supervision, interacting with internal and external stakeholders
  • Be analytical, having the ability to triage incoming claims documentation by type and severity of loss, recognise when certain claims require escalation to senior members of the team and effectively resolve claims within their authority level
  • Operate in a team environment within SCOR to achieve shared business objectives relating to claims efficiency, financial accuracy and customer service
Manage claims within authority up to GBP400k (on an incurred movement basis) from beginning to end with continued assessment of quantum of claim, reserving and settlement

  • Review of policy language in order to identify covered claims and referral to senior claims team members where required
  • Review and assess reports (including but not limited to loss adjuster reports), legal opinions and claim updates and continued assessment of triage rules and guidelines
  • Manage diary and request updated information when necessary
  • Timely and accurately process payments of all expense and indemnity payments on Single Risk Claims as directed and/or within the authority provided
  • Work with SCOR's outsourced claims adjusting service providers, acting as a referral point where matters exceed their authority, escalating matters (where appropriate, and in line with referral criteria) to other members of the SCOR Claims team
  • Collaborate with colleagues within Specialty Insurance, Single Risks, Treaty and in other departments, including Finance, to ensure all information is provided to enable timely payment of claims
  • Resolve or escalate queries from internal sources (e.g. accounting and underwriting) as well as external sources (such as brokers, insureds and outside vendors)
  • Support ongoing reporting requirements, including compiling data on portfolios of claims
  • Review appropriateness of historical reserves ('statics')
  • Prepare ad hoc reports as required
  • Participate in the department digitalisation and automation projects, including identification of efficiencies, testing, implementation and training others.
  • Demonstrate commitment for achieving team objectives, plan/adjust activities accordingly
  • Coach, mentor and assist in the training of more junior claim staff where appropriate and when instructed

Required education

  • Educated to A Level standard at a minimum (or equivalent)
  • Demonstrable claims experience with a broker, adjuster, insurance or reinsurance company
  • Professional qualifications would be an advantage (progress towards ACII desirable but not essential)

Required Experience & competencies

  • Familiarity with the handling of 1 st Party claims, principally Energy and/or Property
  • Familiarity and use of claims management systems (internal and external, e.g. ECF and Docosoft)
  • Lloyd's Market experience desirable, but not essential
  • Strong organisational abilities and attention to detail
  • Good communication both verbally and in writing, with both internal and external stakeholders, including strong report writing skills with the ability to assemble succinct PowerPoint presentations
  • Ability to work independently yet thrive within a team environment
  • Knowledge and proficiency of office management systems and procedures, including MS Office
  • Excellent time management and the ability to multitask and set priorities
  • Comfort level with technology and IT projects

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