Senior Claims Professional
1 week ago
Nashrock Insurance Recruitment is seeking a highly skilled Senior Claims Professional to join our team. This role offers a competitive salary of $85,000 - $110,000 per annum, depending on experience.
About the RoleWe are looking for a talented individual to handle a wide range of claims across multiple lines of business from first notification to settlement. As a Senior Claims Professional, you will be responsible for managing complex claims, negotiating with underwriters, and ensuring compliance with industry standards.
- Oversee and produce new claims files, ensuring completion in line with defined standards.
- Review and assess more complex claims, anticipating potential issues and deciding on the required action.
- Process, monitor, and reconcile bordereaux files.
- Provide underwriters with a comprehensive precis of claims.
- Respond to complex questions from underwriters accurately and efficiently.
- Negotiate with underwriters on comments using claim knowledge and experience.
- Process claim settlements, ensuring prompt receipt of payments and reconciliation of accounts within agreed timeframes.
- Expand knowledge of policies and their implications for claims handling.
- Reconcile funds and accounts, investigating discrepancies as needed.
- Provide regular feedback to the Claims Manager on claim portfolios, statuses, and processing volumes.
- Review and provide feedback on the work of junior team members.
- Escalate contentious issues or complex claims to senior management.
- Ensure compliance with industry guidelines and internal procedures, maintaining accurate records.
- Collaborate with claims colleagues, accounts, and brokers to ensure timely production of documentation and maintenance of systems.
- Develop and maintain relationships with underwriters, adjusters, TPAs, attorneys, clients, and industry peers.
- Stay informed on market trends and developments through networking, client meetings, conferences, and industry publications.
- Record and track Continuous Professional Development (CPD).
- Use specialized claims systems such as ECF, IMR, Lineage, and internal systems.
This role requires excellent communication and negotiation skills, as well as the ability to work independently and as part of a team. If you are a motivated and organized individual with a passion for insurance claims, we encourage you to apply.
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