Senior Claims Adjuster - Med Mal / Healthcare
  • England,North West,Greater Manchester
  • full-time
  • Salary negotiable
Job Description:
Senior Claims Adjuster - Med Mal / Healthcare
Manchester
Negotiable Salary + Excellent Benefits
Role Summary
Investigating and effectively handling medium to high complex Healthcare / Medical Malpractice claims under limited technical direction. Working within specific limits of authority on assignments requiring significant technical complexity and coordination.
Key Responsibilities
*Managing a portfolio of medium to high complexity Healthcare / Medical Malpractice claims with limited supervision.
*Interpreting more complex or unusual policy coverages, and determining if coverages apply to claims submitted, escalating as needed.
*Coordinating and performing investigations and evaluating claims through contact with insureds, claimants, business partners, witnesses and experts. Seeking early resolution opportunities.
*Partnering with solicitors, customers, brokers, experts and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims.
*Proactively managing claims, setting appropriate reserves in line with reserving philosophy, and authorising payments within scope of authority.
*Utilising strong negotiation skills to develop complex settlement packages.
*Identifying claims with third party recovery potentialand coordinating with subrogation team.
*Analysing claims activities, and preparing / presenting reports for management. May be responsible for special projects and presentations.
*Ensuring large and significant claims are identified at an early stage and management are notified and kept advised.
*Providing guidance, assistance and mentoring to less experienced claims staff and other areas of the business.
Key Requirements
*Significant claims handling experience, ideally with a focus on Medical Malpractice / Bodily Injury claims.
*Strong analytical and problem solving skills, enabling viable alternative solutions.
*Understanding of underwriting risk, disciplines and processes.
*Strong interpersonal, communication and negotiation skills, with the ability to effectively interact with internal and external business partners at all levels.
Keywords: Senior Claims Adjuster; Senior Claims Handler; Senior Claims Examiner; Healthcare Claims; Medical Malpractice Claims; Med Mal Claims; Bodily Injury Claims; London Market; Lloyd’s Market; Lloyd’s Syndicate
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Job number 1771751
metapel
Company Details:
Claims Recruitment Services
Company size: 5–9 employees
Industry: General Insurance
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