Claims Adjuster - NIHL/Deafness
hace 1 día
Leeds
Claims Adjuster - NIHL/Deafness Birmingham - 2 days in office Key Responsibilities * Accurately maintain and update claims files, ensuring all data is recorded in line with best practices and reflecting appropriate technical complexity and exposure. * Apply sound judgement to verify policies and determine coverage by analysing relevant policy terms and assessing whether losses fall within scope. * Assess damages by calculating legally recoverable amounts or reasonable ranges in accordance with applicable law. * Negotiate claim settlements by developing effective negotiation strategies and utilising available tools and authority levels, referring matters when required. * Deliver high standards of customer service through proactive communication and timely responses in line with service protocols. * Manage litigation where applicable by instructing approved panel solicitors, establishing litigation plans and budgets, coordinating legal activities, reviewing settlement opportunities, and authorising expenses within authority limits. * Ensure full legal and regulatory compliance, adhering to relevant laws, regulations, and internal controls. * Secure contributions and recoveries where appropriate. * Escalate potential fraud cases to management promptly. * Support profitable growth by identifying risk insights, trends, and emerging exposures. * Act as a technical resource by mentoring junior colleagues and sharing subject matter expertise within the relevant line of business. * Safeguard the organisation's reputation by maintaining confidentiality and treating customers fairly at all times. * Maintain professional knowledge through continuous learning, industry engagement, and participation in professional networks or societies. * Contribute to team objectives and participate in projects as required. * Identify and resolve issues in accordance with established policies, procedures, and standards to ensure consistent and high-quality outcomes. * Take ownership of personal development and seek opportunities for growth. * Adopt a proactive approach to claims management, encouraging early resolution to minimise lifecycle duration and associated costs. * Ensure all valid policy obligations are met, customers are treated fairly, and conduct requirements are fully satisfied. * Participate in audits, due diligence processes, and policyholder meetings where required. * Comply with all regulatory and company policies, maintain confidentiality, and represent the company professionally at all times. Candidate Profile * Capable of managing a high volume of lower-value claims independently, with moderate supervision. * Confident in making and supporting coverage and liability decisions using sound judgement. * Committed to continuous personal development. * Demonstrates strong alignment with corporate values and teamwork principles. * Proactive in managing claims to achieve timely and cost-effective resolutions. Skills * Ability to recognise when to seek senior input on complex matters. * Strong written and verbal communication skills, including preparing clear reports for senior management. * Commitment to ensuring policy obligations are met, customers are treated fairly, and conduct requirements are upheld. * Awareness of current legal, regulatory, and medical developments impacting claims handling. JBRP1_UKTJ