Lead Claims Handler

The Emerald Group Ltd, Search and Selection; Greater London; On-site; GBP 30,000 - 50,000; Full time

Job summary

An established industry player is seeking a dedicated claims handler to join their dynamic team. In this role, you will manage a portfolio of clinical negligence claims, ensuring adherence to protocols and legislative requirements. You will leverage your expertise to investigate and negotiate claims while supporting your colleagues in a collaborative environment. This position offers the opportunity to contribute to educational initiatives and stay updated with legal developments, making it ideal for someone passionate about the insurance sector. If you are self-motivated and thrive in a team-oriented atmosphere, this role is perfect for you.

Qualifications

• Experience in clinical negligence or personal injury claims handling.
• Knowledge of Civil Procedure Rules and Claims Handling Protocol.

Responsibilities

• Manage a caseload of clinical negligence claims effectively.
• Investigate, negotiate, and provide guidance during claims process.

Skills

Claims handling experience

Ability to work under pressure

Team support

Tools

COMPASS

PROFILE

Job description

To provide a claims handling service to members who are the subject of a clinical negligence claim.

Key Activities/Accountabilities:

• Responsible for handling own caseload in accordance with Claims Handling Protocol.
• Provide support for other members of the claims handling team & contribute to a positive team culture.
• Investigate, quantify, and negotiate claims.
• Provide assistance & guidance to members during the claims handling process.
• Maintain a good working knowledge of current technical & legal developments relevant to the work of the Claims Handling department.
• Participate in educational activities & keep a record of training/educational activities.
• Any other duties that are within the post holder’s capabilities.

Qualifications & Experience:

• Claims handling experience in clinical negligence or other relevant business area such as personal injury, general insurance, or legal environment.

Job Related Competencies – knowledge, skills, and attitude:

• Able to adapt & work under pressure, prioritising as necessary.
• Supportive of other team members.

Technical:

• Knowledge of Civil Procedure Rules.
• Adherence to the Claims Handling Protocol.
• Knowledge of IT systems, particularly in-house (COMPASS & PROFILE).
• Keeps up to date with legislative changes & developing case law.

Key Outputs/Performance Measures:

• Actively managing claims & maintaining case files in good order.
• Ensuring case files are adequately reserved & reviewed in accordance with Claims Handling Protocol.
• Compliance with Complaints Procedure.
• Determination of indemnity coverage & adherence to protocol for referring coverage issues.
• Contribute to project work within Claims Handling or other departments including writing at least one article per year for the Journal.
• Control & minimise indemnity payments & defence costs.

Job Context:

This position requires the post holder to manage a portfolio of claims, using technical skills to achieve the optimum result on each case. Adherence to legislative requirements & service standards is essential. The post holder must be flexible, self-motivated & able to work as part of a team.

To work within a team with claims handlers at various levels, providing support and assistance as required.

Seniority level

Not Applicable

Employment type

Full-time

Job function

Other

Industries

Insurance