Personal Injury Claims Handler

7 months ago

Haywards Heath, United Kingdom Robertson Group Full time

**Personal Injury Claims Handler job responsibilities**:

- Proactively record, process and settle claims in accordance with our principles and to maintain files within our service standards
- Own and manage a portfolio, of moderately complex Personal Injury, third party motor claims and associated damage claims, as defined below; within own agreed authority levels.
- Scottish Claims
- Northern Ireland Claims
- Vulnerable Road User Claims; Pedestrians, motor cyclists, bicycles
- Specific KYO Claimant solicitors
- Initial fraud concern cases, if not retained by Fraud, e.g., LVI
- Moderate bodily injury claims and psychological trauma
- Claims managed within the Personal Injury Claims Portals
- Claims managed within the Credit Hire Portal
- Knowledge of all relevant sections of MOJ Reforms, Civil Procedure Rules, Personal Injury Pre-Action Protocol and Road Traffic Act (as applies in all jurisdictions) and the implications of being RTA/ARTICLE 75 insurer
- Manage and negotiate (a small caseload) of development files outside own authority limit on strict referral to Senior Personal injury Specialists
- Manage Third Party Property Damage (TPPD), including credit hire claims, in accordance with FCIM’s procedural requirements and own authority limits
- Identify and champion potential fraudulent claims and action in accordance with FCIM’s guidelines
- To Identify and pursue all potential recoveries from the relevant parties
- To ensure that all files are reserved accurately and promptly in accordance with our reserving philosophy (most likely outcome)
- To be personally responsible for ensuring the reserves fully reflect the level of damages on each file
- Ensure liability is agreed within existing case law and accident circumstances
- Effectively negotiate, as appropriate, with customers, suppliers, and all relevant Third-Party representatives
- To Process and Authorise claim payments as required and in accordance with personal authorities
- Act as a mentor/buddy and referral point to Personal injury Handlers
- Assist Colleagues and, as directed, is involved in new starter training
- Participates in internal audit activity and completes fully Rolling review activity
- Proactive management, assessment and sign off all litigation including tracking trends and identifying process improvements
- Ensure that any bodily injury claims which exceed the large loss criteria are reviewed and promptly reported to the Large Loss team
- Ensure all continuous improvement ideas are raised via the Team leader or Technical Lead.
- Develop and maintain effective relationships with colleagues and business partners
- Be responsible for own personal development requirements in specialist area, by attending all training sessions to ensure understanding of technical issues
- Ensure that all expressions of dissatisfaction are registered in accordance with FCIM’s complaint procedure
- Achieve all personal objectives, Key Performance Indicators (KPI’s) and Service Level Agreements (SLA’s)
- To carry out duties, activities and tasks as directed within the Claims and Fraud pillar to ensure all departments perform effectively and efficiently and meet the demands of First Central’s customers and any third parties
- Comply with the requirements, and act in accordance with, the Group Code of Conduct and Fitness and Propriety policies at all times
- Ensure compliance with Company Policies, Values and guidelines and other relevant standards/ regulations at all times
- To adhere to and consider all regulatory requirements at all times, including Consumer Duty, DPA, AML and Anti Bribery principles, and ensure all direct reports are compliant.
- To be compliant with health and safety policies at all times
- To ensure compliance with company standards/regulations at all times
- Any other reasonable duties

**Personal Injury Claims Handler experience & knowledge**:

- Strong motor claims experience working within a bodily injury claims environment
- Experience handling claims within an OIC (Official Injury Claims) Portal or similar (Desirable)
- Proficient experience of handling personal injury claims including indemnity validation, accurate reserve setting, liability resolution, quantum assessment and settlement techniques
- Experience of handling third party Injury claims liaising effectively with different claimant representatives (KYO/ Non KYO)
- Proficient knowledge of liability assessment
- Proven track record in personal injury claim handling, including dealing with personal injury claims within and out with the RTA Portal
- Technical expertise with exposure to third party claims including credit hire and liability
- Commercial awareness
- Knowledge of regulatory framework relating to Motor Claims Understanding of the main principles of English Law as it applies in the technical motor claims and legal field
- Previous knowledge of FCA requirements (including TCF) and the regulatory framework relating to Motor claims
- Understanding o

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