Senior Claims Examiner

CNA Hardy; City Of London; On-site; GBP 40,000 - 60,000; Full time

Job summary

A leading insurance firm based in London is seeking an experienced Claims Handler to manage a portfolio of complex professional indemnity, cyber, and technology claims. The ideal candidate will have significant experience in claims handling with strong analytical, negotiation, and communication skills. This role involves coordinating investigations, developing resolution strategies, and ensuring compliance with legal and regulatory requirements.

Qualifications

• Significant proven claims handling experience of PI, Cyber and Tech E&O claims.
• Thorough understanding of policy language and application of the law relevant to specific classes of business.
• Strong analytical and problem solving skills enabling viable alternate solutions.

Responsibilities

• Manages a portfolio of claims, ranging in complexity.
• Coordinates and performs investigations and evaluates claims through contact with stakeholders.
• Partners with solicitors and customers to develop strategies for resolution.

Skills

Claims handling experience

Analytical skills

Negotiation skills

Problem solving skills

Communication skills

Job description

Under limited technical direction, investigates and effectively handles a broad range of complex professional indemnity, cyber and technology claims. Under general management direction, works within assigned limits of authority on assignments requiring a high degree of technical complexity and coordination. Utilising claims policies and guidelines, reviews coverages, determines quantum exposure, secures information and negotiates and settles/defends claims.

Key Responsibilities

• With limited supervision, manages a portfolio of claims, ranging in complexity
• Interprets more complex or unusual policy coverages, escalating issues as needed.
• Coordinates and performs investigations and evaluates claims through contact with insureds, brokers, business partners and experts. Seeks early resolution opportunities.
• Effectively and accurately reserves claims in line with reserving philosophy. Monitors and predicts claims development trends and plans for consequences and provides market intelligence of competitor activity and initiatives. Keeps current on appropriate regulations and issues, industry activity and trends.
• Partners with solicitors, customers, brokers, experts and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims.
• Through tight portfolio management, ensures large and significant claims are identified at an early stage and escalated appropriately, in line with internal reporting procedures.
• Provides guidance, assistance and mentoring to less experienced claims staff and other function areas.
• Utilises negotiation skills to develop complex settlement packages.
• Responsible for input and maintenance of claim data that accurately reflects claim financials, circumstances and other information important to our business outcomes.
• Identifies claims with third party recovery/fraud potential and coordinates with relevant Stakeholder functions.
• Analyses claims activities. Prepares and presents reports for management. May be responsible for special projects and presentations.
• Keeps current on relevant legislation, regulation and issues as well as industry activity and trends.
• Complies with all applicable legal and regulatory requirements and ensures, at a level appropriate to the position, that appropriate measures are in place to ensure this compliance.
• May perform additional duties as assigned.

Skills, Knowledge & Experience

• Significant proven claims handling experience of PI, Cyber and Tech E&O claims.
• Ability to handle claims with a proactive long-term view of business goals and objectives.
• Thorough understanding of policy language and application of the law relevant to specific class(es) of business.
• Strong analytical and problem solving skills enabling viable alternate solutions.
• Ability to assess the merits of claims including evaluation based on a cost benefit analysis.
• Understanding of underwriting risk, disciplines and processes.
• Strong communication, negotiation and presentation skills. Ability to effectively interact with all levels internal and external business partners.
• Ability to adapt to change and value diverse opinions and ideas.
• Appropriate knowledge of all relevant regulatory and legal requirements applicable to the position.
• Previous experience of ECF preferred.