Senior Claims Adjuster – Casualty / Healthcare

Duties and Responsibilities

• Managing a portfolio of Lloyd’s and Company Casualty and Healthcare claims, including setting up new claims if necessary.
• Manage and handle claims that fall outside any Delegated Authority.
• Take ownership of policy declinatures and avoidances, not to be left with the TPAs.
• Reserve in accordance with our claim’s philosophy.
• Negotiate and settle claims within specified authority and recommend reserves beyond authority to appropriate management as necessary.
• Review and maintain your caseload (i.e. reviewing incoming claim correspondence, formulating responses, maintaining an up-to-date diary) in accordance with current internal claims procedures and comply with key performance indicators.
• Adhere to internal procedures (i.e. declinatures, large losses, complaints, fraud etc.).
• Assist with coordination of and carrying out of TPA audits if necessary.
• Carry out aged file/static claims reviews as required.
• Proactively manage vendors, such as loss adjusters, TPAs defence counsel and monitoring counsel.
• Demonstrate ability to drive good claims outcomes (i.e. representing AW interests at market meetings, mediations, JSMs and any other client meetings).
• Develop good relationships internally with all departments you come in contact with.
• Develop an understanding of what senior management want and appropriate messaging.
• Work with Underwriters to provide updates, evaluate exposures, attend client meetings where required and assist with development of policy wordings and other contractual documents where required.
• Assist with the mentoring of more junior members of the Team.
• Assist with Lloyd’s and Company reporting requirements.
• Assist with special projects as required.

Person Specification

• University degree preferred.
• Insurance related courses or certificates are an advantage.
• Good working knowledge of the Lloyd's claims system ECF2.
• Good working knowledge of the Claims Portal.
• Good understanding of Casualty and Medical Malpractice policy wordings.
• Experience of managing bordereau and monitoring files on binder business.
• Experience of handling multi-jurisdictional claims in particular Canada, Ireland, Australia and Italy.
• Experience of managing TPAs.
• Knowledge of UK Corporate market would be beneficial.
• Working knowledge of the Microsoft Office Suite.
• Strong business writing skills.
• The ability to work well in a team environment.
• Excellent organisational skills, and the ability to work on multiple tasks concurrently.

Working at Allied World

Our team of over 1,600 professionals has deep expertise in the industry. They enjoy their work, and many have served for several years. This is what you can expect when you join us:

• Instant membership in the Allied World team — a global network of colleagues who will support your career journey.
• A manager who will help you build your career through a structured coaching program.
• Access to a full suite of learning and development tools and resources.

Global Presence

We are headquartered in Bermuda, with offices in Atlanta, Boston, Brisbane, Chicago, Costa Mesa, Dallas, Dublin, Farmington (CT), Hong Kong, Houston, Labuan, London, Los Angeles, Manchester, Miami, Nashville, New Jersey, New York, Philadelphia, San Francisco, Singapore, Sydney, Toronto and Zug.

Our Business

Allied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings Limited, and benefit from a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways.

Allied World is an equal opportunity employer. Subject to applicable law, all qualified applicants will be considered for employment without regard to race, color, religion or belief, gender, age, disability, military service, marital or civil partnership status, family status, sexual orientation, ethnic or national origin, genetic information or any other characteristic protected by applicable law or regulation in the relevant jurisdiction where we operate.

To learn more, visit awac.com, or follow us on LinkedIn at linkedin.com/company/allied-world.