Reinsurance Claims Adjuster
2 weeks ago
As a Claims Handler, you will manage claims from initial report to settlement, coordinating with surveyors, adjusters, and lawyers when necessary. You will ensure accurate record-keeping of each claim's status.
Key Responsibilities
- Claims Management: Determine coverage, set reserves, and settle claims across various classes of business, primarily Property Treaty.
- Collaboration: Liaise with co-insurers, syndicates, and claims bureaus on large or complex claims, issuing market circulars as needed.
- Service Provider Coordination: Manage and communicate with service providers such as lawyers, loss adjusters, and third-party administrators throughout the claim lifecycle.
- Record Keeping: Maintain comprehensive electronic claims records, ensuring they accurately reflect the current status.
- Legal Knowledge: Apply knowledge of tort and contract law, staying updated on relevant legal developments.
- Compliance: Ensure adherence to regulatory requirements, maintaining up-to-date systems and procedures.
- Relationship Building: Foster strong relationships with brokers, adjusters, agents, coverholders, TPAs, and other service providers, maintaining professionalism and efficiency.
- Outsourcing Oversight: Review and oversee delegated outsourcing arrangements.
- Internal Liaison: Coordinate with Reinsurance and Underwriting departments on key issues, monitoring claim activity and suggesting future remedial measures.
- Complaint Management: Handle policyholder complaints through established procedures.
- Reporting: Prepare and analyze monthly and quarterly reports.
- Consultation: Work with Underwriters on underwriting intent, settlements, and disputed coverage.
- Business Travel: Travel as necessary for business needs.
Regulatory Responsibilities
- Customer Guidance: Provide guidance to customers on claim processes and progress.
- Timely Settlement: Aim for prompt agreement on settlement terms and timely payment of valid claims.
- Complaint Handling: Identify, record, and refer customer complaints appropriately.
- Customer Fairness: Ensure fairness in customer treatment.
Requirements:
Experience
- Essential: Solid understanding of Reinsurance Treaty claims.
- Desirable: Treaty claims handling experience.
Technical Skills
- Essential: Proficiency in MS Office (Word, Excel - intermediate level).
- Desirable: Experience with EDC (Lloyd's and LIRMA).
Education
- Essential: Lloyd's Introductory Test, GCSE Maths grade B or above.
- Desirable: ACII, A Level Maths grade C or above.
Personal Skills
- Ability to work independently.
- Professional and well-presented.
- Strong interpersonal skills.
- Excellent organizational, communication, and negotiation skills, with the ability to liaise at all levels.
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