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Senior Claims Specialist

2 months ago

Leeds, Leeds, United Kingdom NHS Resolution Full time
Technical Claims Leader

NHS Resolution is seeking a highly skilled Technical Claims Leader to join our Claims Management function on a permanent basis. This is a key strategic role that requires a senior member of the team to investigate, negotiate, reserve, and settle claims.

The successful candidate will utilize their extensive knowledge of the Claims environment and its user needs and business goals to deliver a high-quality claims service, contributing to the delivery of the strategy and the Business Plan and meeting the function's Key Performance Indicators.

Key Responsibilities:

  • Accountable for the technical performance of the team while ensuring an exemplary standard of customer service and team technical competence.
  • Responsible for team and self in the achievement of technical KPIs and in the achievement of, or exceeding, designated technical audit standards.
  • Accountable for the technical development of staff and in collaboration with the Operational Team Leader is responsible for career development.
  • Contribute to successfully managing claims on behalf of Trusts or GPs and NHS England.

Requirements:

  • Relevant qualifications in Insurance, legal, clinical, or medical claims.
  • Extensive experience of handling complex personal injury/clinical negligence claims to a successful conclusion and experience of successfully managing a complex caseload while successfully achieving set targets.
  • Able to explain highly complex issues to others and overcome any barriers to understanding.
  • Expert, specialized, and in-depth knowledge over a wide range of areas related to personal injury and clinical negligence claims.
  • Extensive knowledge and understanding of the application of current law and clinical practice to clinical and personal injury claims.
  • Demonstrable evidence of the ability to plan and organize a broad range of complex activities and service improvement strategies with the ability to adjust plans or strategies as service and customer needs change.
  • Experience of planning, designing, and delivering training interventions to share expert knowledge.
  • Understanding of NHS Resolution business and strategic objectives and philosophy and PEER values.
  • Excellent communication skills, including composing complex correspondence and legal documentation.

About NHS Resolution:

NHS Resolution is a not-for-profit arm's length of the NHS working for healthcare providers to resolve claims fairly and to share learning across the NHS and beyond. We provide a supportive environment for our staff with specialist training and the opportunity for personal development.

NHS Resolution operates several indemnity schemes, on behalf of the Secretary of State for Health and Social Care, primarily for the handling of liability claims against English NHS Trusts and other commissioners and/or providers of NHS care.

The claims teams manage claims emanating from former PCTs and Strategic Health Authorities, which transferred to the Secretary of State. The Claims teams work in an interesting and dynamic climate, all contributing to a continually improving claims service.

We are a unique organization that provides expertise to the NHS on resolving concerns and disputes fairly. We share learning for improvement and preserving resources for patient care.

NHS Resolution is made up of staff from all walks of life which enriches the work we do. We embody our organisational PEER values:

  • We are dedicated to providing a professional, high-quality service, working flexibly to find effective and efficient solutions.
  • We bring unique skills, knowledge, and expertise to everything we do.
  • We are committed to acting with honesty, integrity, and fairness.
  • We treat people with consideration and respect and encourage supportive, collaborative, and inclusive team working.

We offer a competitive salary and benefits package, opportunities for career growth and development, a collaborative and innovative work environment, and a commitment to diversity, equality, and inclusion. We also offer access to the NHS Pension Scheme and a minimum of 27 days Annual Leave, as well as a commitment to support individuals in having a work and life balance, offering flexible working arrangements.

We are a progressive organization towards data-driven strategies and believe that the skills and experience you bring to NHS Resolution are invaluable. We want you to have the opportunity to develop your abilities and pioneer and develop in areas which you are passionate about.