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Lead Claims Handler

3 months ago

UK, UK, United Kingdom The Emerald Group Ltd, Search and Selection Full time

Purpose of the Job:


To provide a claims handling service to members who are the subject of a clinical negligence claim


Key Activities/Accountabilities:


  • Responsible for handling own caseload in accordance with Claims Handling Protocol
  • Provide support for other members of the claims handling team & contribute to a positive team culture
  • To investigate, quantify and negotiate claims
  • Provide assistance & guidance to members during the claims handling process
  • Maintain a good working knowledge of current technical & legal developments relevant to the work of the Claims Handling department
  • Participate in educational activities & keep a record of training/educational activities
  • Any other duties that are within the post holder’s capabilities


Qualifications & Experience:


Claims handling experience in clinical negligence or other relevant business area such as personal injury, general insurance or legal environment


Job Related Competencies – knowledge, skills and attitude (personal, managerial and technical):

Personal/General:


  • Excellent oral & written communication
  • Able to adapt & work under pressure, prioritising as necessary
  • Supportive of other team members

Technical:


  • Knowledge of Civil Procedure Rules
  • Good negotiation skills
  • Adherence to Claims Handling Protocol
  • Knowledge of IT systems, particularly in house (COMPASS & PROFILE)
  • Keeps up to date with legislative changes & developing case law


Key Outputs/Performance Measures:


  • Actively managing claims & maintaining case files in good order
  • Ensuring case files are adequately reserved & reviewed in accordance with Claims Handling Protocol
  • Compliance with Complaints Procedure
  • Determination of indemnity coverage & adherence to protocol for referring coverage issues
  • Contribute to project work within Claims Handling or other departments including writing at least one article per year for the Journal
  • Control & minimise indemnity payments & defence costs


Job Context:


This position requires the post holder to manage a portfolio of claims, using technical skills to achieve the optimum result on each case. Adherence to legislative requirements & service standards is essential. The post holder must be flexible, self-motivated & able to work as part of a team.


To work within a team with claims handlers at various levels, providing support and assistance as required.


The post holder must be prepared to demonstrate a commitment to success by working the hours required to perform the job to the highest standard and showing maximum flexibility in availability for duties.