Claims Adjuster

1 month ago


London, United Kingdom Edenbrook Full time
Job Description

Edenbrook are currently working with a leading Primary Specialty Insurance provider who are looking for a Claims Adjuster on a permanent basis. Reporting into the Group Head of Claims Adjuster, you’ll support the Head of Property Claims through the effective claims management and oversight of third-party administrators (TPAs) and partners.


Responsibilities & Accountabilities:


  • Supporting the Head of Property Claims, in adjusting all inward claims within claims handling authority.
  • Understanding and complying with the Lloyd’s Minimum Standards and Claims schemes where appropriate.
  • Liaising and meeting with Claims Agreement Parties, Brokers and Underwriting teams. Attending market and internal meetings on behalf of the Syndicate as appropriate.
  • Instructing Loss Adjusters, Lawyers and other third-party Experts as needed.
  • All claims are to be handled in accordance with claims handling procedures and any relevant Service Level Agreements, taking due note of the companies’ regulatory responsibilities.
  • Reporting claims in accordance with reporting requirements.
  • Measuring claims process performance and claims leakage regarding indemnity spend, claims savings (subrogation, salvage and recoveries), adherence to policy wordings and correct application of excesses, limits and endorsements.
  • Owning key relationships with business partners.
  • Initiating regular claims case reviews on a statistically significant sample; sharing your findings and recommendations with the respective TPA, the companies claims and underwriting teams for continuous service and business improvement.
  • Identifying, evaluating and benchmarking of our external TPAs, loss adjusters and other third-party service providers (incl. customer contact centres); promoting “best practices” and minimising claims leakage.
  • Providing feedback on individual complaints and trend analysis
  • Monitoring developments in the insurance market or other relevant industries and identifying technologies which could substantially improve the customer claims journey.
  • You must therefore adhere to the following principles.
  • You are required to comply with the PRA and FCA conduct rules.


Knowledge and Skills


  • ACII qualification/ progressing towards ACII qualification.
  • Proven claims handling experience is US personal lines and commercial property classes of business.
  • Management of TPAs and/or Coverholders with delegated authority.
  • Strong stakeholder Account Management experience.
  • Flexibility to adapt to the needs of the business and work on UK, International and US claims as both lead and follow.


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