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About the role
- Ownership and management of a portfolio of claims
- Early and effective coverage analysis
- Assessment and justification of reserves in line with authority levels
- Employ proactive early intervention strategies to reduce claims costs
- Develop a strategy for claim resolution
- Timely scheduling of independent medical examinations (IME)
- Appointment of an investigator (where applicable)
- Complete general administration for each claim file
- Assessment of recovery prospects
- Maintain client relationships to achieve superior results
- Communicate effectively with claimants, clients, brokers, investigators, insurers and medical practitioners
- Demonstrate effective negotiation and liaison techniques
- Provide training to the insured for improved risk management
- Report to and update relevant stakeholders regarding claims
- Facilitate regular structured contact with clients
- Competent use of systems and processes in claim management
- Effective use of Propel and Microsoft Office applications
- Understand and adhere to Proclaim processes and procedures
- Support achievement of company goals and vision
- Effective file and claim management to meet objectives and targets
- Account retention and development of new business
- Utilise marketing and networking opportunities
- Support other team members as required
Requirements
- Accuracy and attention to detail
- Time management and prioritisation
- Effective negotiation and advocacy
- Strong verbal and written communication
- Computer skills – usage of internal systems
- Drafting documents, letter writing and typing ability
- Ability to run and interpret reports
- Solid analytical and dispute resolution ability
- Relationship building
- Presentation skills
- Broad understanding of Accident & Health & Travel insurance policies
- Understanding of the Insurance Contracts Act
- Understanding of the Insurance Code of Practice and Privacy Code
- Understanding the role of brokers and industry stakeholders
- Interpretation of policy/clauses/exclusions
- Solid understanding of client structure, fee structure and invoice process
- Ability to assess quantum and reserve effectively
- Ability to identify conflicts of interest
- Understanding of Lloyd’s of London key processes
Benefits
- Flexible hybrid working
- Comprehensive rewards package
- Diverse array of benefits
- Tailored package to align with individual needs
- Wide range of flexible benefits
- Robust well-being programs
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementcoverage analysisreserve assessmentrisk managementreportingdocument draftingdata interpretationdispute resolutionquantum assessmentinsurance policy interpretation
Soft Skills
attention to detailtime managementnegotiationcommunicationrelationship buildingpresentation skillsanalytical skillsadvocacyprioritizationteam support