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Senior Casualty Claims Adjuster

2 months ago

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

Main purpose of job:

  • To manage a diverse Portfolio of Casualty claims for both, Delegate Authority Business and Direct on a Lloyd’s and MGA platform
  • Experience in some, if not all, of the following classes US and RoW Casualty, E&O and D&O, Medical Malpractice, Financial Institutions, General Liability including EL/PL, Reinsurance, Warranty and Indemnity and US Marine and Energy Liability
  • Optimising spend and achieving high levels of satisfaction for the insured and broker through high quality claims management, resolution, and excellent client service
  • The role will include the review of claims data and underwriting documentation to ascertain validity of losses notified, handling of the claim from notification to settlement, appointing and managing lawyers, DCA’s and adjusters, coverage reviews, and attending mediations if applicable

Key tasks:

  • Experience of negotiating settlements, attending market meetings, and authorising claims
  • Responsible for managing the Casualty claims portfolio from notification to closure, investing the necessary level of involvement required for each claim depending on the nature, category, maturity, type, and value of the claim
  • Being the technical referral point for all claims staff
  • Developing, documenting, communicating, and executing claims strategies taking into account uncertainties, key decisions, potential outcomes and estimated associated costs
  • Reviewing individual claims within the portfolio and keeping reserves and records up to date as required
  • Identifying issues and trends in the portfolio and taking appropriate and/or corrective action
  • Providing input to underwriters on review of potential or existing insured's claims experience
  • Reporting and analysing claims trends and developments and their potential impact on the book
  • Attend external events to network in the market and to continue to build the company brand
  • Working closely with Underwriters, Finance and Claims teams in London and overseas as necessary

Key personal skills required:

  • An excellent knowledge of US and RoW Casualty claims gained from a minimum of 8 years’ experience in the industry
  • In-depth understanding of the London Insurance Market from both a Lloyd’s and Company Market perspective
  • Chartered Insurance Institute (CII) qualifications or University Degree (or similar) desirable but not essential for the role. A legal background/qualification would be advantageous
  • A results-oriented professional
  • Excellent communication skills, both verbal and written
  • Ensure compliance with company and other relevant standards and regulations

Key technical skills, knowledge and professional qualifications required:

  • Preferably ACII and University Degree – ideally Law
  • Deep understanding of complex losses in the US
  • Proven experience of providing a professional business service to both internal and external clients
  • Excellent analytical, data interpretation and presentation skills
  • Ability to manage complex US litigation, lawyers, adjusters and other legal experts

Risk and Compliance Responsibilities:

  • Ensure compliance with company and other relevant standards and regulations
  • Ensure compliance with relevant PRA and FCA conduct rules
  • Responsibility for the proper performance of all regulatory roles held in the course of employment
  • Responsibility for the proper performance of any FCA/PRA Prescribed Responsibilities assigned from time to time and contained within a Statement of Responsibilities
  • Ensure compliance with assigned risk management responsibilities