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Claims Adjuster
2 months ago
As a Claims Handler, you will manage claims from initial report to settlement, coordinating with surveyors, adjusters, and lawyers when necessary. You will ensure accurate record-keeping of each claim's status.
Key Responsibilities
- Claims Management : Determine coverage, set reserves, and settle claims across various classes of business, primarily Property Treaty.
- Collaboration : Liaise with co-insurers, syndicates, and claims bureaus on large or complex claims, issuing market circulars as needed.
- Service Provider Coordination : Manage and communicate with service providers such as lawyers, loss adjusters, and third-party administrators throughout the claim lifecycle.
- Record Keeping : Maintain comprehensive electronic claims records, ensuring they accurately reflect the current status.
- Legal Knowledge : Apply knowledge of tort and contract law, staying updated on relevant legal developments.
- Compliance : Ensure adherence to regulatory requirements, maintaining up-to-date systems and procedures.
- Relationship Building : Foster strong relationships with brokers, adjusters, agents, coverholders, TPAs, and other service providers, maintaining professionalism and efficiency.
- Outsourcing Oversight : Review and oversee delegated outsourcing arrangements.
- Internal Liaison : Coordinate with Reinsurance and Underwriting departments on key issues, monitoring claim activity and suggesting future remedial measures.
- Complaint Management : Handle policyholder complaints through established procedures.
- Reporting : Prepare and analyse monthly and quarterly reports.
- Consultation : Work with Underwriters on underwriting intent, settlements, and disputed coverage.
- Business Travel : Travel as necessary for business needs.
Regulatory Responsibilities
- Customer Guidance : Provide guidance to customers on claim processes and progress.
- Timely Settlement : Aim for prompt agreement on settlement terms and timely payment of valid claims.
- Complaint Handling : Identify, record, and refer customer complaints appropriately.
- Customer Fairness : Ensure fairness in customer treatment.
Requirements:
Experience
- Essential : Solid understanding of Reinsurance Treaty claims.
- Desirable : Treaty claims handling experience.
Technical Skills
- Essential : Proficiency in MS Office (Word, Excel - intermediate level).
- Desirable : Experience with EDC (Lloyd's and LIRMA).
Education
- Essential : Lloyd's Introductory Test, GCSE Maths grade B or above.
- Desirable : ACII, A Level Maths grade C or above.
Personal Skills
- Ability to work independently.
- Professional and well-presented.
- Strong interpersonal skills.
- Excellent organizational, communication, and negotiation skills, with the ability to liaise at all levels.
