Description

ROLE OVERVIEW

The role

We have an opportunity for a Claims Handler to join a growing team that handles claims made against professionals on an outsourced basis. The team handles claims on behalf of leading insurers, acting under delegated authority levels for pre-litigated matters from first notification of loss to resolution. This includes running a caseload which requires you to review and investigate cover, assist insured professionals, respond to claims and report to Insurers where necessary.

The team

The desire is to build the team and proactively expand the scope of its fixed fee work across claims handling schemes and books of defendant PI work, by obtaining new business contracts, whilst also consolidating and strengthening the relationships with our existing clients.

Working with the Head of Claims and other team members, you will be responsible for a technical and efficient delivery of service. Collectively, you will be responsible for building and shaping the team for the future, embedding principles of lean and efficient working, and establishing the culture, values and behaviours that make for an attractive and varied legal career.

Key Responsibilities

· Reviewing insurance policy terms, identifying, investigating, and reporting potential issues to insurers.

· Assisting Insureds to respond appropriately to complaints and claims, investigating externally where appropriate and considering at an early stage the merits and value of claims.

· Negotiating settlement of claims within the delegated authority. Working efficiently, commercially, and equitably in line with delegated authority.

· Understanding the internal SLA's and KPI's of the team and ensuring adherence to these standards.

· Understanding Insurer requirements and complying with Insurer SLA's and KPI's.

· Responsible for the proactive management of a caseload to avoid unnecessary litigation and ensure effective resolution.

· Responsible for maintaining and ensuring the completeness, accuracy, quality, and integrity of data on the electronic case management system for your caseload.

· Supporting monthly and ad hoc reporting to Insurer clients.

· Always providing excellent customer service, contributing to being a market leading claims function.

· Ensuring a consistent approach to client claims and implementing Insurers' reserving policies, so that claims are dealt with fairly and costs are properly controlled, supported by the use of the most appropriate approved external suppliers.

· Identifying trends and escalating risk information to the Head of Claims and Insurers where appropriate, to help manage the profitability of the work portfolio.

· Seeking continuous self-development and keeping up to date with changes in the profession, ensuring you are able to provide market leading solutions.

· Building and maintaining effective working relationships with intermediaries, customers, and suppliers to ensure defined service levels are met and exceeded.

· Ensuring that quality assurance standards are achieved, and procedures followed to agreed standards.

Knowledge, skills and experience

Required

· Experience in claims with technical knowledge and expertise.

· Excellent communication skills, both orally and in writing, and a good understanding of how to provide excellent customer service.

· Good decision-making skills.

· An ability to prioritise effectively and adapt plans, accordingly, consistently producing high quality work even when meeting tight timescales.

· Organised and efficient, able to work on own initiative and as part of a team.

· An ability to deal with difficult or demanding situations and clients.

· Good knowledge and confident use of Microsoft office (including Excel, Word, PowerPoint and Outlook) and ideally previous experience of working with a case management system.

Advantageous

· LLB Law, GDL, ACII, CILEx or equivalent legal qualifications.

· A good working knowledge of law firm operations and pressures; understanding the need for efficient, timely, cost-effective support.

· A sound understanding of relevant legislative and legal frameworks.