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Specialty Claims Technician
4 months ago
Scroll down to find the complete details of the job offer, including experience required and associated duties and tasks.
The primary role is to provide technical oversight and to handle claims across Professional Indemnity and Financial Lines, EL and Lloyd’s Specialty claims, in line with company claims handling guidelines. This will require close collaboration with the TPA appointed to handle this book, dealing with claims above DA levels and ensuring the portfolio is handled efficiently and effectively in accordance with company principles. You will apply your knowledge and experience to proactively manage claims through to settlement, including negotiation and management of complex claims matters. Other key elements of this role will include the assessment of risks attached to new deals, and the development and delivery of strategic approaches to achieve claims savings.
Main Responsibilities
To proactively handle allocated claims to a high standard, including overall assessment of losses and reserves, and negotiation with counterparties to achieve timely settlements.
To handle claims on behalf of the claims team, including large, complex and disputed claims, under the supervision of the Claims manager.
Identifying and reporting new trends or changes in the behaviour of a claims portfolio.
Assist in the management of complaint cases within regulatory guidelines.
Working with TPAs to provide assistance with referrals and cases over delegated authority limits.
Effective management of external service providers, ensuring they are acting in the best interests of the company.
Identifying and delivering opportunities for claims savings, both on an individual claims and strategic basis.
Identification and execution of commutation and buy back opportunities, including the negotiation of deals with counterparties.
Providing technical assistance for the due diligence process for new acquisitions, including the assessment of claims related risks and opportunities, reporting findings within the agreed format and required deadlines.
To gain a good understanding of new accounts upon acquisition, delivering against opportunities identified in due diligence.
Acting as a point of claims expertise with other internal departments to resolve queries.
Acting in a supporting role to the Claims Director and Claims Leaders.
To provide input and ideas for ongoing improvements to claims and other related processes, working in partnership with internal and external teams.
Key Skills Required
Good level of claims handling technical experience and knowledge, providing consistently high-quality claims handling.
Understanding of PI / FI / D&O / EL / Lloyd’s Specialty claims.
Good knowledge of key terms and conditions in contracts / policies and general knowledge of key legal position in relevant jurisdictions.
Good negotiation skills, with experience in negotiating complex issues with counterparties, including the ability to actively participate in formal mediations, resulting in successful settlements.
Effective verbal and written communication skills.
Ability to develop good working relationships with both internal and external stakeholders.
Consistently act as a role model to other members of the team.
Ability to manage own workload effectively, prioritising where necessary.
Adaptability and a flexible, open-minded approach to change.
Complaint resolution skills required.
Good level of computer skills using MS Excel and Word as well as other systems.
