Global TPA Casualty Handler, Fully Remote Role
Make sure to apply with all the requested information, as laid out in the job overview below.
OVERALL ROLE PURPOSE:
Responsible for processing and investigating insurance claims relating to customers' General Liability policies. This will involve working with the policy holder, colleagues and other professionals to ensure that the claim is valid. The role of a claims handler is predominantly to process a customer's insurance claim. You'll be involved in managing a claim from the start through to settlement, making important decisions on the claim, and checking for any potential fraudulent activity. You will be involved in the handling of Employers and Public Liability injury claims and will need to have a good understanding of the sector and laws surrounding these. You'll be assisting with providing the customer any other services that may be required following an accident or incident.
KEY ACCOUNTABILITIES:
Responsibilities include but are not limited to;
Handling of General Liability claims from the start to the settlement
You will be involved in managing a claim from start to finish through to settlement. You will be required to carry out investigations with the client to enable you to make the correct liability decision. Investigating the extent and validity of a claim and checking for any potential fraudulent activity. You will coordinate services that may be required by the claimant following an accident or incident.
Be able to manage claims via the MOJ Portal, including key dates and how to manage a stage 2 and 3 pack.
Collecting relevant information and documentation in support of the claim and ensuring a record of this is kept updated within the system, including liaising with law firms to facilitate medical reports.
Speaking to customers, third parties, lawyers, medical professionals and other relevant parties and advising them on any issues that may arise.
Understanding medical terms and being able to read and translate medical reports
Liaising with adjusters, examiners and investigators to evaluate the insurance claim
Investigate the claim to ensure its genuine.
Working with risk analysts, brokers, underwriters and other relevant parties to reach settlement
Ensuring a fair settlement and good customer service for the client
KNOWLEDGE & SKILLS:
Previous experience with handling and investigating Injury claims and managing your own portfolio with a value of up to £25,000.
You will have knowledge of how the MOJ portal works, the key dates involved and how to manage stage 2 and 3 packs.
Have knowledge of how to deal with a claim involving wage loss and the importance of having an up to date CRU certificate.
You will have knowledge of how to handle bodily injury claims and have experience handling claims through to litigation
You will have knowledge on how to value an injury claim and what tools to use to enable you to do this.
Liaising with adjusters, examiners and investigators to evaluate the insurance claim
Liaising with customers and third parties, and other relevant parties and advising them on any issues that arise.
Strong phone and verbal communication skills along with active listening. xsngvjr
Ability to multi-task, set priorities, and manage time effectively
Knowledge of Microsoft Office i.e. Word, Outlook, Excel
Previous experience in working alongside loss adjusters to determine the level of damage caused and be able to build good working relationships with them and other professionals.
A good understanding of the legal system