Claims Analyst – Casualty and Healthcare

Allied World; Greater London; Hybrid; GBP 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a Claims Analyst for their Casualty and Healthcare team. In this role, you will manage a diverse portfolio of claims, ensuring compliance with guidelines and driving optimal outcomes. You will collaborate with a renowned team, handling complex cases while fostering relationships with third-party administrators and legal panels. This innovative firm offers a supportive environment for professional growth, emphasizing teamwork and development. If you are passionate about claims management and thrive in a dynamic setting, this opportunity is perfect for you.

Benefits

Career Development Programs

Flexible Working Hours

Work from Home Options

Learning and Development Resources

Qualifications

• 3+ years handling Casualty or Healthcare claims, including large losses.
• University degree preferred; insurance courses are a plus.

Responsibilities

• Adjust UK and International Healthcare and Casualty claims.
• Manage a caseload and drive economic outcomes.

Skills

Claims Handling

Communication Skills

Organizational Skills

Team Collaboration

Analytical Skills

Education

University Degree

Insurance Related Courses

Tools

Microsoft Office Suite

ECF

Trax

Job description

Claims Analyst – Casualty and Healthcare

Claims Analyst – Casualty and Healthcare Team

Take the next step in your career with us.

Allied World is an ideal place for talented professionals who are driven by a belief in the value of collaboration and the power of knowledge.

We believe that when our great people work together and support one another, our clients receive the best solutions. We embrace unique perspectives and empower each person to grow through professional development, career training and mentoring programs.

Our people are our most important asset, and we are very proud of the quality of our team members.

Job Summary:

This role is part of the Global Markets Claims Group. You will be responsible for International Casualty and Healthcare claims working within a strong and renowned claims team.

Responsibilities / Duties:

• Adjust a portfolio of UK and International Healthcare and Casualty claims in compliance with claims manuals and KPIs. On most accounts there will be an appointed Third-Party Administrator (TPA) and you will be responsible for managing cases that fall outside the Delegated Authority (DA). Typical duties will include:
• Policy coverage referrals. Ability to understand the terms and conditions of Casualty and Healthcare policy wordings, be able to draft policy declinature letters where necessary and follow set procedures in place for same.
• Direct Investigations in respect of policy coverage, liability, quantum and resolution in conjunction with the designated TPA and or legal panel.
• Set realistic claims reserves as per Allied World’s reserving philosophy and guidelines and make sure the TPA’s act within reserving guidelines.
• Pro-actively manage a case load, review incoming claim correspondence in a timely manner, formulating responses and driving good economic outcomes.
• Maintain a claims diary as per guidelines in place to allow for proactive claims management.
• Adhere to internal procedures (i.e. declinatures, large losses, complaints, fraud etc).
• Assess the economics of a case and driving early settlements where applicable.
• Attend conferences with counsel, joint settlement meetings and mediations where appropriate.
• Proactively manage vendors such as TPA’s, defence and coverage lawyers.
• Demonstrate a good understanding of binder business and have knowledge of Lloyd’s V5 claims bordereau management.
• Understand the Lloyd’s market and handle those claims on ECF via Trax.
• Work with our underwriting teams to provide updates, evaluate potential exposures and trends, and assist with development of policy wordings and other documents where required.
• Attend and present at new business opportunity meetings with underwriters and client meetings to discuss their claims where required.
• Report to Head of Casualty and Healthcare claims and other management throughout.
• Assist with coordination of and carrying out of internal and external audits.
• Manage recoveries where applicable.
• Produce and analyse claims reports including claim experiences.
• Represent the claims team at marketing events and present to the wider claims team on a chosen topic once a year.
• Assist with special projects as required.

Qualifications:

• 3 years+ handling Casualty and or Healthcare claims (including large and complex losses).
• University degree preferred – insurance related courses or certificates are an advantage.
• Good understanding of Casualty and or healthcare policy wordings and claims handling.
• Experience of managing bordereau and monitoring files on binder business.
• Excellent oral and written communication skills.
• Excellent organization skills and being able to manage a portfolio of claims proactively.
• The Ability to work well and thrive within a team environment is key.
• Proven ability to work well with senior management, Insureds, brokers and service providers.
• Good knowledge of Microsoft Office Suite and bespoke claims systems such as ECF and Trax.

Working at Allied World

Our team of over 1,500 professionals has deep expertise in the industry. They enjoy their work, and many have served for several years. This is what you can expect when you join us:

• Instant membership in the Allied World Family — a global network of colleagues who will support your career journey.
• A manager who will help you build your career through a structured coaching program.
• Access to a full suite of learning and development tools and resources.
• A hybrid way of working with up to two days work from home.

Global Presence

We are headquartered in Bermuda, with offices in Atlanta, Boston, Chicago, Costa Mesa, Dallas, Dublin, Farmington (CT), Hong Kong, London, Los Angeles, Malaysia, Miami, New York, Philadelphia, San Francisco, Singapore, Sydney, Toronto and Zug.

Our Business

Allied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings Limited, and benefit from a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways.

Allied World is an equal opportunity employer. Subject to applicable law, all qualified applicants will be considered for employment without regard to race, color, religion or belief, gender, age, disability, military service, marital or civil partnership status, family status, sexual orientation, ethnic or national origin, genetic information or any other characteristic protected by applicable law or regulation in the relevant jurisdiction where we operate.