Claims Adjuster - Maternity Cover
Job Market - Insurance Claims
Claims Adjuster - About the role
London Market Claims adjuster required for 12 month maternity cover to handle claims from first advice to settlement in areas of business predominantly including Accident & Health, Travel and Personal Accident, although experience in other classes of casualty business would be useful in addition. The successful applicant needs to have ECF/Word/Excel experience and the knowledge and ability to work unsupervised. Liaison skills and the ability to deal with all levels of colleagues, clients and service providers would also be necessary.
Claims Adjuster - Key duties
Handling and settlement of claims including the analysis of policies to determine nature and extent of coverage. This will include litigation management relating to both policy coverage disputes as well as general defence work. Classes include Travel, Personal Accident, Other Accident and Health, Professional Indemnity, Financial Lines and other casualty classes.
Where necessary instructing and supervising loss adjusters and lawyers and other experts in various jurisdictions, liaising with them throughout the course of claims to ensure accurate reserves at the earliest possible juncture and the best possible outcomes are achieved for all covered claims;
Effectively communicating with management, underwriting, and actuarial on a regular basis to ensure they are kept aware of any key claims trends/issues so that appropriate steps can be taken to address any concerns
Building professional working relationships with intermediaries and agents such as brokers, Coverholders , TPAs and Medical Assistance Providers. Acting as the primary initial point of contact with regard to Accident & Health / Travel claims.
Arranging claims/compliance audits of Third Party Administrators (TPAs) to ensure best practice claims handling and following up on audit findings/recommendations that require further action to be taken.
Reviewing and releasing ECF entries and sequences and keeping abreast of developments
Where necessary circulating direct reports to the market and as leader conducting market meetings
Meeting with co-insurers in the London market and working with them to attempt to drive best practice including attendance on working groups, LMA committees
Claims Adjuster - Key requirements
Good working knowledge of the Lloyd’s Market
Experience dealing with Accident and Health / Travel claims predominantly
Familiarity with ECF claims system