Claims Adjuster - 12Month Maternity Cover Contract

Job Description

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

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