Senior Claims Adjuster, Marine & Aviation

Job Description

Are you looking for your next opportunity?

Sompo has a unique opportunity for a Senior Claims Adjuster, Marine & Aviation in our Claims team.

The role requires the accurate and timely evaluation and processing of claims estimates and paid claims in accordance with policy terms and conditions, to ensure the delivery of the required level of service and fulfilment of the company’s contractual obligations at all times. It also includes using analytics and insights to drive continuous improvement in the use of TPAs and third-party experts.

The delivery and performance of the role must consistently reflect our Sompo Values.

Location: This position will be based out of our London office. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers.

Our business, your impact, our opportunity:

What you’ll be doing:

Key Result Areas

• Contribute to, monitors and advises on the plan developments and changes in order to ensure relevancy, compliance and optimal delivery
• Assist in the preparation and implementation of the operational team plans to ensure these are in line with wider business strategy and reflect key priorities.
• Determine own work priorities and activities in line with agreed plans to ensure the achievement of the function’s objectives.
• Partner with colleagues to perform data analysis work and provide valuable insights that improve claims performance

Key Performance Indicators

• Benchmarking of delivery to plan objectives
• Management team feedback
• Alignment, and engagement of team to tactical goals
• Relevancy, accuracy and timeliness of contribution/advice
• Priorities aligned to tactical and wider strategic plans
• Insights drive performance improvement
• Risk mitigation & avoidance

Policy, Process and Procedures

• Support the implementation of the Claims strategy to enable delivery of overall business targets
• Investigate and resolve complex Claims of a specialist nature in a professional manner in order to provide excellent Claims handling service with minimal leakage
• Proactively manage estimates and billings calculated by clients and brokers resolving any discrepancies in a timely manner
• Identify and investigate coverage issues so as to ensure that the company’s liability is in line with its contractual commitments and to communicate with relevant stakeholders
• Identify subrogation, contribution and other recovery issues and ensure that these are successfully pursued where appropriate
• Manage disputed Claims and other material Claims issues in order to resolve and settle claims on an economic basis
• Ensure Claims files are compiled and maintained in a logical and accessible manner and that coverage and/or other Claims issues are clearly documented at all times
• Ensure awareness of and compliance with regulatory and legislative requirements

Key Performance Indicators

• High quality documentation/training material produced, with appropriate rationale
• Claims leakage within agreed tolerance
• Positive feedback from internal customers
• Satisfactory results from internal Claims audit and other, indirect financial benefits, such as efficient, cost effective use of internal and external resources and services
• All appropriate recoveries successfully pursued

Environmental Awareness / Customer Focus

• Support the development of relationships with internal and external customers to enable the Claims function to fully support their needs
• Support the development of relationships with the Underwriters to enable the Claims function to support the needs of other areas within the business
• Ensure that Claims billings and advices are responded to within agreed time frames to provide a professional service to brokers, and clients
• Ensure that base premiums have been received a…