Claims Expert – 28853

The Emerald Group; City Of London; On-site; GBP 45,000 - 65,000; Full time

Job summary

A leading insurance firm in London is seeking a skilled professional to oversee high-value UK primary insurance losses across Casualty, Motor, and Disease sectors. The ideal candidate will possess solid claims handling experience and a degree-level education or equivalent. Strong investigation and loss evaluation skills are essential for effective claims resolution and maintaining high standards with partners in claims handling.

Qualifications

• Educated to university degree-level or equivalent insurance or legal-based work experience.
• Solid Claims or Insurance Industry experience; background in the primary insurance market is preferred.
• Strong skills in coverage, investigation, loss evaluation, and claim valuation.

Responsibilities

• Oversee high value UK primary losses in Casualty, Motor, and Disease.
• Assess policy coverage, conduct fact investigations, and manage loss evaluations.
• Ensure claims handling partners act within contractual scope.

Skills

Claims handling

Loss evaluation

Policy coverage assessment

Communication with stakeholders

Education

University degree-level or equivalent experience

Job description

They are looking for someone with a multi-disciplined skill set which will include being able to oversee high value UK primary insurance losses in the Casualty, Motor and Disease areas, having expertise in all aspects in the management and oversight of TPA's and MGA's

• Location: London
• Category: Claims
• Type: Permanent

Key Duties (Including but not limited to):

• Oversight of high value UK primary losses in Casualty, Motor and Disease ensuring the highest quality of claims handling from their partners. Being able to assess policy coverage, fact investigation, loss evaluation, ensuring an appropriate claim resolution. Set and maintain appropriate and timely reserves in accordance with their guidelines
• Ensuring that their claims handling partners (TPA’s & MGA’s) act within the scope of their contracts
• Ensuring that their internal data and records is kept up to date and accurate
• Keep Claims Management and other internal stakeholders aware of loss potential and material claim developments
• Educated to university degree-level or equivalent insurance or legal-based work experience (Professional insurance qualifications, or willingness to work towards achieving this)
• Solid Claims or Insurance Industry experience. Background working in the primary insurance market is preferred
• Strong coverage, investigation, loss evaluation and claim valuation skills
• Strong understanding of underwriting and other insurance functions and how they interact