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Treaty Claims Adjuster

Posted 4 days ago

As a Claims Handler, you will manage claims from initial report to settlement, coordinating with surveyors, adjusters, and lawyers when necessary. You will ensure accurate record-keeping of each claim's status.
Key Responsibilities
Claims Management
: Determine coverage, set reserves, and settle claims across various classes of business, primarily Property Treaty.
Collaboration
: Liaise with co-insurers, syndicates, and claims bureaus on large or complex claims, issuing market circulars as needed.
Service Provider Coordination
: Manage and communicate with service providers such as lawyers, loss adjusters, and third-party administrators throughout the claim lifecycle.
Record Keeping
: Maintain comprehensive electronic claims records, ensuring they accurately reflect the current status.
Legal Knowledge
: Apply knowledge of tort and contract law, staying updated on relevant legal developments.
Compliance
: Ensure adherence to regulatory requirements, maintaining up-to-date systems and procedures.
Relationship Building
: Foster strong relationships with brokers, adjusters, agents, coverholders, TPAs, and other service providers, maintaining professionalism and efficiency.
Outsourcing Oversight
: Review and oversee delegated outsourcing arrangements.
Internal Liaison
: Coordinate with Reinsurance and Underwriting departments on key issues, monitoring claim activity and suggesting future remedial measures.
Complaint Management
: Handle policyholder complaints through established procedures.
Reporting
: Prepare and analyze monthly and quarterly reports.
Consultation
: Work with Underwriters on underwriting intent, settlements, and disputed coverage.
Business Travel
: Travel as necessary for business needs.
Regulatory Responsibilities
Customer Guidance
: Provide guidance to customers on claim processes and progress.
Timely Settlement
: Aim for prompt agreement on settlement terms and timely payment of valid claims.
Complaint Handling
: Identify, record, and refer customer complaints appropriately.
Customer Fairness
: Ensure fairness in customer treatment.
Requirements:
Experience
Essential
: Solid understanding of Reinsurance Treaty claims.
Desirable
: Treaty claims handling experience.
Technical Skills
Essential
: Proficiency in MS Office (Word, Excel - intermediate level).
Desirable
: Experience with EDC (Lloyd's and LIRMA).
Education
Essential
: Lloyd's Introductory Test, GCSE Maths grade B or above.
Desirable
: ACII, A Level Maths grade C or above.
Personal Skills
Ability to work independently.
Professional and well-presented.
Strong interpersonal skills.
Excellent organizational, communication, and negotiation skills, with the ability to liaise at all levels.
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