Healthcare Claims Adjuster

MW Appointments; City Of London; Hybrid; GBP 50,000 - 85,000; Full time

Job summary

A leading international insurer is seeking a Senior Claims Handler to manage a caseload of medical malpractice claims. Responsibilities include overseeing claims from initial notice to resolution, negotiating settlements, and mentoring junior staff. The ideal candidate will have at least 5 years of experience in Casualty claims and be qualified to handle Irish claims. This role offers a salary between £50,000 to £85,000, hybrid working options, and a comprehensive benefits package.

Benefits

Comprehensive benefits package

Annual bonus

Career development opportunities

Qualifications

• At least 5 years' experience with Casualty claims across various jurisdictions.
• Qualified to handle Irish claims or willingness to sit qualifying exams.
• Ability to analyze complex matters and technical information.

Responsibilities

• Manage a portfolio of medical malpractice claims.
• Negotiate settlement of claims with appointed experts.
• Proactively investigate and handle claims from first notice through resolution.

Skills

Casualty claims handling

Mentoring junior staff

Negotiation skills

Analytical skills

Knowledge of regulations

Education

ACII / FCII designation or equivalent

Tools

London Market systems (e.g. ECF)

Job description

Summary

An opportunity to join a leading international insurer in the healthcare liability space. In this role as the Senior Claims Handler you will be responsible for the effective management of a caseload of international medical malpractice claims.

This will consist of managing clinical negligence cases via instructing panel solicitors and liaising with the insured and panel for optimal claims outcome. In addition, the Senior Claims Handler will be expected to assist underwriting and risk with claims information, attending prospect and insured meetings and mentoring more junior members of staff within the claims team.

The role will report directly to the VP Head of Claims to ensure that claims have appropriate oversight and are handled efficiently taking commercial, reputational, regulatory and other policy considerations into account.

Key responsibilities

• Manage a portfolio of medical malpractice claims, notifications, and regulatory healthcare matters.
• Proactively investigate and handle claims from first notice through resolution, including determination of coverage and analysis of liability, quantum and strategy.
• Ensure adequate reserving pursuant to company Reserving Philosophy.
• Negotiate settlement of claims in conjunction with appointed experts.
• Collaborate with internal and external stakeholders, including underwriters, brokers, solicitors, TPAs to improve organisational performance and provide optimal service to our insured clients.
• Assist with panel and TPA management, including large loss claim review and audit.
• Assist with the training and development of other team members.

Knowledge, skills and experience

• At least 5 years' experience with Casualty claims across various jurisdictions (US, UK and Ireland beneficial).
• Qualified to handle Irish claims (via ACII / FCII designation or other qualification recognised by CBI) or willingness to sit qualifying exams.
• Familiarity with London Market systems (eg ECF) and operating protocols.
• In-depth knowledge of general insurance principles and practices.
• Ability to interpret regulations and apply guidance when handling regulatory healthcare matters.
• Ability to mentor and develop junior staff.
• Sound judgement and ability to analyse complex matters and technical information.

What is on offer

• An opportunity to develop your career with a growing global leader in the healthcare liability space.
• Salary to £50,000 to £85,000 (dependent on skill set & expertise) + benefits package & annual bonus
• Hybrid flexible working options

Interested? Please apply today and we will contact you by return.

MW Appointments has been recruiting in the Insurance market since 1992, so you will benefit from partnering with a market leader who possess in-depth technical understanding, comprehensive market in-sight, excellent market intelligence and well-established relationships with companies across the insurance sector.

MW Appointments is acting as an Employment Agency in relation to this vacancy.