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Uk Technical Claims Advisor

4 months ago

London, United Kingdom Wakam Full time

**Mission**:
As a Technical Claims Advisor, you will play a pivotal role in reviewing and optimizing claims portfolios, identifying opportunities for reserve reduction, and ensuring fair settlements. This involves expertly analyzing claims, addressing policy conditions, monitoring progress, and providing excellent customer service while adhering to legal and industry standards.

You will report to the Chief Claims Officer Europe & UK and collaborate with the Claims, External Operations and Audit teams based in Paris.

The position can be hybrid or remote from the UK.

**Key Responsibilities**:
The Technical Claims Advisor has the following responsibilities:

- Review aged claims portfolio for closure, movement or development
- Identify opportunities for reserve reduction or onwards large loss handling
- Report on any trends and/or issues arriving from review of partners, suppliers or claimants
- Analyse a claim made by a policymaker to establish whether it satisfies the policy conditions
- Identify reasons why full payment may not be made
- Explain to partners/policyholders when their claim is not covered
- Monitor the progress of a claim
- Investigate potentially fraudulent claims
- Liaise with solicitors, as well as other legal and claims professionals, and negotiate the terms of a claim
- Ensure fair settlement of a valid claim
- Ensure the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines
- Handle any complaints associated with a claim
- Manage all administration aspects of the claim, ensuring that case notes, logs and diaries for each customer are completed on time and accurately
- Adhere to legal requirements, industry regulations and customer quality standards set by the company

**Experience & key skills**:

- 3+ years' experience across Lines of Business including motor, credit hire and injury in a relevant claims role at an UK insurance company, TPA or law firm.
- Strong experience in claims decision making and value based settlements
- Experience of claims partnerships, TPAs and intermediaries
- Experience of analysing large amounts of data to make recommendations on loss adjusting activities
- Ability to establish credibility and a position of influence
- Strong knowledge of the regulations and compliance standards within the insurance industry
- Experience stakeholder relationship management
- A solid understanding of financial management, including budgeting, forecasting, and profit and loss analysis
- Strong experience in managing day-to-day company operations, including underwriting, claims processing, and policy administration
- Strong knowledge of the regulations and compliance standards within the insurance industry
- Team player fostering a positive work environment, and drive performance
- Excellent communication skills to effectively interact with all stakeholders
- A problem-Solving mindset to identify issues and find creative solutions to challenges that arise

**Working mindset**:

- Positive energy, agility, and team spirit. High energy, stamina, restless curiosity, and a commercial mindset
- Solutions orientated, with the ability and confidence to challenge
- Intellectually curious, highly capable, and eager to learn; able to deal with complexity
- Thinks and acts globally; capable of working effectively and collaboratively across an internationally diverse organisation
- Self-awareness and the ability to accept feedback and strive to continue to develop
- High personal resilience, an optimistic self-starter with strong drive
- A structured and flexible approach
- Independently minded with sound judgment, calm under pressure, and the ability to prioritise
- The highest ethical standards in all interactions and decisions, fostering trust and credibility
- A sense of ownership and accountability for the teams success, taking responsibility for decisions and outcomes
- A balanced approach that identifies and addresses potential risks

**Recruitment process**
- Screening interview with Talent recruiter
- Manager interview with UE & UK Claims Officer
- Cross interview with France Claims & Audit teams
- Peer interview with UK Audit team
- HR interview with Head of Talent &/or UK HR Manager

**_Positive energy, agility, and team spirit are essential to support Wakam in its hyper-growth_**
- You have the Wakam mindset? Join us_

**More about us**:
**Our culture? **_Free to impact_**. A culture where everything is possible, where all ideas are taken into consideration, where everyone has an impact on the transformation of insurance Hungry for freedom? Thirsty for autonomy? If you are adventurous and like challenges, then the Wakam adventure might be made for you

Discover -on our website
- who we really are with the 11 cultural markers that so well describe us

**What we are looking for**:
Mindset compatibility with our 'Free to Impact' culture:

- Think big
- Biased for action
- Curious and eager to learn
-