Purpose of the Job:
This is a supporting role to the Claims Division, assisting the Adjusters and Claims Managers to provide an efficient service and support to Insureds, Underwriters, Brokers and Service Providers. This will include supporting the efficient and diligent adjustment of claims within the relevant portfolio, with the flexibility to provide support across the broader Claims.
Role will also require an ability to collate and report on internal KPIs, loss ratios and other quantitative and qualitative claims data to the Claims Management Team and Underwriters.
Principal Accountabilities:
Primary responsibility for the process-based claims handling tasks, including:
• liaising with brokers and service providers, as required, to support the management and flow of claims processes in line with company policies and ensuring regulatory and legal compliance;
• help ensure that broker transactions are being correctly presented and working with brokers to effect corrections, as required;
• support interaction with TPAs and Coverholders, including Ambridge (formerly BGSU);
• processing fee collections and queries, interactions with service providers, Legal-X (BLT) and Advent with guidance from the Claims Adjuster and Claims Ops, as required;
• assist with selecting essential and relevant criteria and information to draft effective reports and updates for Claims Team Managers and Underwriters;
• using the Claims Toolkit and Power BI for reporting purposes to support renewal meetings and broker requests;
• responsibility for following up on static claims and TBAs with the relevant brokers and/or service providers, liaising closely with Adjusters as required;
• liaise with co-insurers and reinsurers for the provision and follow up of information on behalf of Claims Adjusters
• read and comply with the Brit Claims Guidelines;
• to maintain and develop internal and external relationships;
• to maintain accurate claims records.
Decision Making Responsibilities:
• To make claims processing recommendations and/or decisions within authority.
• To identify and recommend on any improvement in data capture, processing and reporting.
Regulatory Conduct Rules:
1. Act with integrity.
2. Act with due skill, care and diligence.
3. Be open and co-operative with Lloyd’s, the FCA, the PRA, and other regulators.
4. Pay due regard to the interests of customers and treat them fairly.
5. Observe proper standards of market conduct.
Education, Qualifications, Knowledge, Skills and Experience:
• A commitment to continuous personal and professional development
• Effective prioritisation and organisational skills in order to meet timescales.
• Advanced literacy and numeric skills.
• Excellent interpersonal and communication skills.
• IT skills, including Microsoft Office with the desire to learn new systems