Claims Manager

Location:

Edinburgh

Contract:

Permanent

Working Pattern:
Full time, 37.5 hours per week

We are on the lookout for a dynamic, proven and experienced Claims Manager to join our Claims Handling team in the Member, Cases and Claims division.

As our new Claims Manager
, you will proactively manage an active clinical negligence claims portfolio, maximising your strategic thinking, whilst handling files efficiently to the highest standards to achieve positive member and business outcomes.

Whether you're a qualified solicitor eager to explore in-house opportunities or an experienced Claims Handler seeking a refreshing change, this role offers a varied range of responsibilities in managing both medical and dental claims. You'll have the chance to engage with a diverse range of claims, provide insights to our members, and collaborate closely with panel firms. This is more than just a job;

it's a chance to thrive in your career while making a meaningful impact.

Working as part of a multi-disciplinary team, your success is dependent on how you build trusting relationships with those around you. You will work closely with internal stakeholders including Claims Assistants, Claims Managers and Technical Consultants alongside other departments of the business. In addition, relationships are built and maintained with Panel firms ensuring our third parties also meet expectations in their service delivery and claims performance.

Therefore, the ability to collaborate effectively is crucial. Key to this role is the ability to prioritise well and work proactively across your caseload.

Supported through a technical development framework, you will have the opportunity to develop your claims portfolio across a range of complexity, value, disciplines and jurisdictions. You will also coach, develop and support other Colleagues as part of your role.

The Claims Team handles all claims from inception through to resolution. Our services include Our services also include instructing external solicitor firms where that type of representation is required. Our Medicolegal and Dentolegal Consultants also provide clinical input into our Claims Handling teams.

As our new Claims Manager, you will also:

• Directly managing a caseload of claims on an end-to-end basis with value and complexity appropriate to the level of experience
• Assess the facts, law, apportionment issues, quantum and likely costs to devise and implement a case management and investigative strategy proportionate to the claim
• Ensure accurate claims estimates are created & maintained
• Address & resolve of apportionment issues effectively
• Obtain relevant documentation and factual evidence as required from the member(s) and other witnesses
• Commission expert reports and counsel input as required
• Draft and serving the Letter of Response
• Draft documentation as required to adhere with relevant protocols.
• Proactively initiate and engage in settlement negotiations where appropriate
• Utilise Alternative Dispute Resolution (ADR) and mediation where appropriate.
• Ensure a smooth transition to in-house solicitors where required
• Collaborate with external litigation solicitors (MPS Panel) to provide ongoing strategic direction and input until resolution.

• An individual with proven understanding of Clinical Negligence law/claims along with the ability to take a strategic approach to claims management.
• Claims management or litigation experience with a background in clinical negligence, personal injury, or professional negligence litigation and excellent analytical, communication and negotiation skills.
• Claimant and/or defendant experience with experience handling a high volume of claims independently, demonstrating a proven ability…