Specialty Senior Claims Examiner
2 weeks ago
**Specialty Senior Claims Examiner**
Sompo International Holdings Ltd. (Sompo International) is a specialty provider of property and casualty
insurance and reinsurance, established in March 2017 as the result of the acquisition of Endurance Specialty
Holdings Ltd. by Sompo Holdings Ltd. (Sompo).
Sompo's core business encompasses one of the largest property and casualty insurance groups in the
Japanese domestic market. In addition, Sompo is engaged in the provision of insurance services as well as
other related services through its global network of businesses operating in 32 countries around the world.
Sompo International is the international operation and a wholly owned subsidiary of Sompo, which trades
on the Tokyo Stock Exchange. Through our operating subsidiaries, Sompo International underwrites
agriculture, professional lines, property, marine and energy, and casualty and other specialty lines of
insurance and catastrophe, property, casualty, professional lines, weather risk and specialty lines of
reinsurance.
As a leading global provider of insurance and reinsurance, we recognize that our success is derived directly
from those who matter most: our people. Sompo International’s headquarters is in Bermuda and we
currently have offices in the United States, the United Kingdom, Continental Europe, and Asia. At Sompo
International, a shared commitment to integrity, teamwork, agility, execution, and excellence define our
culture, and we strive to create exceptional value for our clients and shareholders and maintain Sompo
International as a desirable place to work.
We are seeking a **Specialty Senior Claims Examiner **to join our **Claims **department.
The role involves the active negotiation of settlements, attendance at market meetings and authorisation of
is required to assist in the development/training of other colleagues to enhance their knowledge on Accident
& Health claims, specific accounts and to develop effective working relationships with brokers. As well as
adhering to all internally set Key Performance Indicators, the handler must comply with all regulatory
requirements and the Lloyd’s Minimum Standards.
The handler is required to make reserving judgements of potential anticipated losses in a timely and
professional manner to meet levels of service expected by internal and external customers. The role requires
that the handler recognises contentious issues and where appropriate informs claims management to discuss
legal obligations and/or remedies and take appropriate action.
**Responsibilities include**:
- Examining claim data and underwriting documentation to ascertain validity of losses notified
against cover provided and establish premium payment status for both the Company (SIIE) and
Lloyd’s (EAL - in run-off) platforms.
- Undertaking leader obligations responsibly, thereby preserving and protecting the SIIE/EAL image as
a respected leading underwriting entity.
- Assisting with claims reviews and audits at the offices of Coverholders, ceding companies, TPAs and
other Insurers and to report on their compliance or otherwise with terms and conditions of risks
written and their overall claims handling service.
- Establishing adequate reserves for the estimated amounts of anticipated loss and/or adjustment and
coverage expenses.
- Negotiating settlements and authorise claim payments in a professional and timely manner to meet
the levels of service expected by the market, our customers and other stakeholders.
- Validating, circulating and/or responding to claim transactions through ECF and/or other systems in
accordance with defined procedures.
- Recognising contentious issues and, where appropriate, inform claims management to discuss legal
obligations and/or remedies and take appropriate action.
- Informing claims management for onward reporting of any large or unusual losses in order that
financial exposure can be fully evaluated, and future corrective measures can be determined. This
includes the drafting of Large Loss Notices in a timely manner for distribution around the business
and the maintaining and updating of the Company Claims Watclist.
- Manage and monitor the performance of outsourced Coverholders and TPA’s where appropriate to
ensure that customers are receiving a good level of service from both our external and internal claims
handlers.
- Maintain files and documentary evidence to create an audit trail of claim values into the computer
system and through the books of the Company.
- Providing regular data and written reports where required.
- Maintaining files and documentary evidence to create an audit trail of claim values into the computer
system and through the books of the company.
- Conducting regular reviews of the claim portfolio to assess the adequacy of reserves being carried.
- Attending internal meetings, market meetings and seminars and to represent the company as and
when required.
- Communicate with Underwriter
-
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