Senior Claims Adjuster - Occupational Disease

Posted 18 January 2025
Salary Negotiable
LocationWorthing
Discipline 理賠
ReferenceSCAC005
Contact NameSamara O'Hagan

Job description

New Vacancy - Senior Claims Adjuster (Occupational Disease)
Worthing / London / Birmingham
Lloyd's Insurer

I am currently recruiting for a leading Lloyd's Insurer who are seeking a Senior Claims Adjuster to join their growing team.

My client is looking for someone with 5+ years experience handling Mesothelioma Cancer Claims & other Disease related cases. Their portfolio is made up of all UK Claims on the direct side and Claim values range from £100k up to £500k, so someone comfortable handling larger Claims is preferred.

Key Responsibilities

  • Update claims files with precision, adhering to best practices and handling technically complex cases.
  • Evaluate liability by collecting and analysing relevant facts, applying applicable laws, and establishing principles of negligence.
  • Manage high volume, complex claims independently and make informed decisions with minimal guidance.
  • Determine policy verification and coverage by assessing applicable coverage and analysing claim eligibility.
  • Resolve claims promptly by developing strategies, evaluating cases, and escalating issues as needed.
  • Adhere to service level agreements, set reserves within specified limits, and assess damages accurately.
  • Negotiate settlements, communicate with customers effectively, and manage litigation processes.
  • Ensure legal compliance, secure contributions, and refer potential fraud cases to management.
  • Contribute to business growth by providing risk insights and mentoring colleagues.
  • Maintain confidentiality, stay updated on industry trends, and participate in professional development.
  • Collaborate with team members, solve problems, and seek input from senior colleagues when needed.
  • Demonstrate commitment to company values, stay informed on legal and regulatory changes, and prioritise early claims settlement.
  • Focus on meeting policy obligations, treating customers fairly, and adhering to conduct obligations.
  • Provide comprehensive reports to senior management.