Seniour Claims Adjuster

Key responsibilities including however, not limited to the following:

• Able to handle substantial volume of high value and highly complex claims; comfortable with making and supporting own decisions; with a minimal level of guidance and direction
• Use judgment to determine policy verification and coverage determination by analysing applicable coverage for claims and determining whether the loss falls within the coverage
• Establish timely reserves outlined in SLAs and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims
• Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within your own authority limits, or within the referral structure for claims above your authority
• Serve as a technical resource by mentoring lower-level claims professionals and sharing technical knowledge related to specific Line of Business expertise
• Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks and participating in professional societies
• Prime emphasis will be on ensuring all valid policy obligations are appropriately met, Customers are treated Fairly and requirements under applicable Conduct obligations are discharged

Qualifications required:

• Required – GCSE Maths and English Grade C or above or equivalent
• Preferred but not essential – CII/CILA/bachelor’s degree (or equivalent), some mentoring experience

Experience required:

• Required – Experience of handling mesothelioma and other high value disease claims with reserves over £250k
• Strong analytical skills
• Ability to settle claims within agreed guidelines and to think outside the box
• Self-motivated with the ability to work autonomously
• Takes responsibility for managing own development

SENIOUR CLAIMS ADJUSTER | 30189 London/Birmingham/Worthing - Basingstoke, Hampshire