Senior Claims Adjuster

Key Responsibilities:
Analyse complex information from different sources, identify and investigate coverage issues, examine claims liability, negotiate claims with counterparties
Maintain accurate reserving data
Liaise with Underwriters, Brokers and Policyholders as well as with internal Actuarial, Finance, Operations and Reinsurance Departments
Direct, supervise and audit lawyers and Third-Party Loss Adjusters
Develop and maintain an in-depth knowledge of case law
Produce accurate reports on claims
Responsible for accurately assessing and spotting trends
Assist in drafting appropriate claims handling processes and strategies
Mentor members team
Consult with relevant specialists (e.g. physicians, accountants) and support lawyers to defend the claims in Court
Skills & Experience Profile:
Experience / knowledge on relevant LOB for role (Medmal, Casualty, Property etc.)
Ability to work independently
Ability to manipulate data
Adaptable to working in a demanding and changeable environment
Excellent communication skills, both verbally and in writing
Excellent team working ethic with excellent customer service approach
Experience and knowledge of the legacy insurance sector desirable
Key Competencies:
Team player
Decision Making
Communication
Results / target orientated
Organised
Adaptable
Aligned with the ethics of the business
Career Planning / Path:
Any person wishing to progress from a Senior Claims Adjuster role to a Managers role within the claims department need to have and actively display both the skills and competencies including but not limited to below when being considered for promotion:
Skills / Key Competencies
Provide support to the Head of Claims to ensure team are motivated and aligned to the specific portfolio targets and deadlines
Make effective decisions when dealing with complex technical claims scenarios and to provide recommendations for claims decisions to team members
Actively revise and edit reports created by the team to create focused, concise documents
Litigation experience including: settlement conferences, mediations, arbitrations, drafting pleadings, discovery and trial experience
Support and implement the Claims Handling guidelines including claims handling strategy for complex claims and providing support and oversight to the wider team regarding settlement strategies and management of external experts and lawyers
Evidence of some management responsibility and mentoring of more junior members of staff on a regular basis
Soft Skills
Effective communicator, both verbally and written
Ability to manage, develop and retain talented claim professionals (a management course or qualification preferable)
Mentoring skills
Excellent report writing
Very organized and ability to prioritize various tasks for self and team
Ability to adapt in a fast-changing environment, quickly identifying and solving problems
Conduct Performance reviews (ability to provide both good and constructive feedback)
Suggested Courses
Leadership Course managers.org.uk/education-and-learning/qualifications/
Managing difficult conversations
Report writing
Presentation skills
How to be a Mentor
For Senior Adjusters who do not wish to work towards a Claims Manager role or who at this stage need further development before they do so they should concentrate on improving existing skill set:
Technical Knowledge-evidenced by feedback from their Manager as it relates to the handling of their claims. In addition, this should be evidenced by 15+ CPD hours relating to technical aspects of their role
Consider undertaking insurance qualifications (ACII) or other relevant qualification
Further develop their writing and reporting skills (and attend report writing training)
Further develop their presentation skills (attend presentation training including PowerPoint)
Consider mentoring opportunities within Premia and any Lloyds opportunities
Company Values:
Disciplined: balanced and objective in taking business decisions
Expert: use their specialisms, expertise and creativity to get things done
Innovative: entrepreneurial, challenge, embrace change, and continually seek to improve the way they do business
Accountable: outcome focused and deliver on promises
Integrity: responsible and perform to their best with strong moral and ethical principles to do the right thing
Inclusive: encourage participation and value all contributions
Collaborative: act of working together, as one team for the greater business purpose/good
Individual Conduct Rules:
All employees are subject to the following Conduct Rules:
Must act with integrity
Must act with due skill, care and diligence
Must be open and cooperative with the FCA, PRA and other regulators
Must pay due regard to the interests of customers and treat them fairly
Must observe proper standards of market conduct
Must act to deliver good outcomes for retail customers