Seniour Claims Adjuster | 30189

Emerald Group Ltd; Basingstoke; In loco; GBP 45.000 - 65.000; Tempo pieno

Descrizione del lavoro

Emerald Group in the United Kingdom is seeking a Senior Claims Adjuster to manage high-value, complex claims across London, Birmingham, Worthing, and surrounding regions.

You will interpret policy coverage, set reserves within SLAs, negotiate settlements, and mentor junior staff while staying current with industry developments.

The role emphasizes fairness, regulatory conduct obligations, and autonomous professional growth.

Competenze

• Experience handling mesothelioma and other high-value disease claims with reserves over £250k.
• Strong analytical skills.
• Ability to settle claims within guidelines and think creatively.
• Self-motivated with the ability to work autonomously.
• Takes responsibility for managing own development.

Mansioni

• Handle high-value and complex claims with minimal guidance.
• Determine policy verification and coverage for claims.
• Establish reserves and review during claims cycle within limits.
• Negotiate settlements within authority; refer when needed.
• Mentor junior claims professionals and share expertise.

Conoscenze

Analytical skills

Autonomous working

Mentoring

Negotiation

Formazione

GCSE Maths and English Grade C or above

CII/CILA or bachelor’s degree

Descrizione del lavoro

Key responsibilities including however, not limited to the following:

• Able to handle substantial volume of high value and highly complex claims; comfortable with making and supporting own decisions; with a minimal level of guidance and direction
• Use judgment to determine policy verification and coverage determination by analysing applicable coverage for claims and determining whether the loss falls within the coverage
• Establish timely reserves outlined in SLAs and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims
• Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within your own authority limits, or within the referral structure for claims above your authority
• Serve as a technical resource by mentoring lower-level claims professionals and sharing technical knowledge related to specific Line of Business expertise
• Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks and participating in professional societies
• Prime emphasis will be on ensuring all valid policy obligations are appropriately met, Customers are treated Fairly and requirements under applicable Conduct obligations are discharged

Qualifications required:

• Required – GCSE Maths and English Grade C or above or equivalent
• Preferred but not essential – CII/CILA/bachelor’s degree (or equivalent), some mentoring experience

Experience required:

• Required – Experience of handling mesothelioma and other high value disease claims with reserves over £250k
• Strong analytical skills
• Ability to settle claims within agreed guidelines and to think outside the box
• Self-motivated with the ability to work autonomously
• Takes responsibility for managing own development

SENIOUR CLAIMS ADJUSTER | 30189 London/Birmingham/Worthing - Basingstoke, Hampshire