Senior Claims Adjuster – Casualty Healthcare

Allied World Assurance Company

Job Location:

London - UK

Monthly Salary: Not Disclosed

Posted on: 2 days ago

Vacancies: 1 Vacancy

Job Summary

Duties and Responsibilities:

Management a portfolio of Lloyds and Company Casualty and Healthcare claims to include setting up new claims if necessary.
Manage and handle claims that fall outside any Delegated Authority.
Take ownership of policy declinatures and avoidances not to be left with the TPAs
Reserve in accordance with our claims philosophy
Negotiate and settle claims within specified authority and recommend reserves beyond authority to appropriate management as necessary
Review and maintain your caseload (i.e. reviewing incoming claim correspondence formulating responses maintaining an up-to-date diary) in accordance with current internal claims procedures an comply with key performance indicators.
Adhere to internal procedures (i.e. declinatures large losses complaints fraud etc.)
Assist with coordination of and carrying out of TPA audits if necessary.
Carry out aged file/static claims reviews as required
Proactively manage vendors such as loss adjusters TPAs defence counsel and monitoring counsel
Demonstrate ability to drive good claims outcomes (i.e. representing AW interests at market meetings mediations JSMs and any other client meetings)
Develop good relationships internally with all departments you come in contact with
Develop an understanding of what senior management want and appropriate messaging
Work with Underwriters to provide updates evaluate exposures attend client meetings where required and assist with development of policy wordings and other contractual documents where required
Assist with the mentoring of more junior members of the Team
Assist with Lloyds and Company reporting requirements.
Assist with special projects as required.

Person Specification;

University degree preferred.
Insurance related courses or certificates are an advantage.
Good working knowledge of the Lloyds claims system ECF2.
Good working knowledge of the Claims Portal.
Good understanding of Casualty and Medical Malpractice policy wordings.
Experience of managing bordereau and monitoring files on binder business.
Experience of handling multi-jurisdictional claims in particular Canada Ireland Australia and Italy.
Experience of managing TPAs.
Knowledge of UK Corporate market would be beneficial.
Working knowledge of the Microsoft Office Suite.
Strong business writing skills.
The ability to work well in a team environment.
Excellent organisational skills and the ability to work on multiple tasks concurrently

Required Experience:

Senior IC

Duties and Responsibilities:Management a portfolio of Lloyds and Company Casualty and Healthcare claims to include setting up new claims if necessary.Manage and handle claims that fall outside any Delegated Authority.Take ownership of policy declinatures and avoidances not to be left with the TPAsRe...

Duties and Responsibilities:

Management a portfolio of Lloyds and Company Casualty and Healthcare claims to include setting up new claims if necessary.
Manage and handle claims that fall outside any Delegated Authority.
Take ownership of policy declinatures and avoidances not to be left with the TPAs
Reserve in accordance with our claims philosophy
Negotiate and settle claims within specified authority and recommend reserves beyond authority to appropriate management as necessary
Review and maintain your caseload (i.e. reviewing incoming claim correspondence formulating responses maintaining an up-to-date diary) in accordance with current internal claims procedures an comply with key performance indicators.
Adhere to internal procedures (i.e. declinatures large losses complaints fraud etc.)
Assist with coordination of and carrying out of TPA audits if necessary.
Carry out aged file/static claims reviews as required
Proactively manage vendors such as loss adjusters TPAs defence counsel and monitoring counsel
Demonstrate ability to drive good claims outcomes (i.e. representing AW interests at market meetings mediations JSMs and any other client meetings)
Develop good relationships internally with all departments you come in contact with
Develop an understanding of what senior management want and appropriate messaging
Work with Underwriters to provide updates evaluate exposures attend client meetings where required and assist with development of policy wordings and other contractual documents where required
Assist with the mentoring of more junior members of the Team
Assist with Lloyds and Company reporting requirements.
Assist with special projects as required.

Person Specification;

University degree preferred.
Insurance related courses or certificates are an advantage.
Good working knowledge of the Lloyds claims system ECF2.
Good working knowledge of the Claims Portal.
Good understanding of Casualty and Medical Malpractice policy wordings.
Experience of managing bordereau and monitoring files on binder business.
Experience of handling multi-jurisdictional claims in particular Canada Ireland Australia and Italy.
Experience of managing TPAs.
Knowledge of UK Corporate market would be beneficial.
Working knowledge of the Microsoft Office Suite.
Strong business writing skills.
The ability to work well in a team environment.
Excellent organisational skills and the ability to work on multiple tasks concurrently

Required Experience:

Senior IC

Key Skills

Load & Unload
Organizational skills
Financial Concepts
Fraud
Math
Mediation Experience
Pricing
Conflict Management
Workers' Compensation Law
Medicare
negotiation
Workers' Compensation

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About Company

Allied World Assurance Company

Allied World Assurance Company Holdings assures its clients that everything is well insured. In the US its insurance products include general property/casualty coverage as well as specialty products such as environmental, health care, and professional liability coverage targeted to sm ... View more

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