Senior Liability Adjuster (Clinical Negligence)

Job Description

The role will encompass technical adjusting within the Medical Malpractice and Clinical Negligence team within SLS. The role is office based with UK travel at times required, in addition intermittent overnight stays may be necessary. International travel may be required in accordance with business needs.

Responsibilities

• Receiving and acknowledging new claims.
• Conducting detailed investigations, gathering all required supporting documentation, to include the taking of witness statements, consideration of medical and other records.
• Preparing reports commenting in detail on all aspects of the claim, including policy analysis and coverage, and liability, quantum and future actions.
• Managing a portfolio of liability claims on a cradle to grave basis, these are mainly medical malpractice in nature but can extend to clinical trial claims and some PL, EL and Product claims. Some claims will be international.
• Identifying claim potential to ensure suitable referral, and compliance, with the licensing levels
• Maintaining an awareness of current technical and legal developments with the necessary application to case load.
• Ensuring that all work/correspondence is prioritised and handled proactively.
• Instructing and controlling lawyers, forensic scientists, engineers, medical consultants and other experts as appropriate.
• Preparing case management plans, visiting Insurers, Reinsurers, Claimants and the Insured as required.
• Ensuring all work/correspondence is prioritised and handled effectively
• Ability to be flexible, providing cover for other adjusters as and when required.
• Ability to develop working relationships with existing clients and helping to identify and plan approaches to new clients.
• Contribute to the designated Team productivity and financial targets through effective planning and organization of personal workload.
• Ability to manage WIP and debt.
• Maintaining Client relationships through management and delivery of SLA\’s and achievement of KPI\’s, SLA compliance performance at 90%
• Ensuring all Adjusting activities are fully compliant with the company\’s procedures, published company Technical Claims Handling Guidelines and external regulatory requirements.
• Demonstrating knowledge and/or awareness of FSA procedures and the TCF initiative
• Actively seeking to develop oneself and to take responsibility for your own training and development
• Maintaining awareness of Business Continuity programme and role within it.
• Ability to deliver 3x salary from workload
• Willingness to be trained upon and to handle new lines of business

Qualifications

Able to manage a mixed portfolio of Specialist Liability losses. An ability to evidence technical excellence in the investigation and handling of Cradle to Grave and Delegated Authority instructions. Strong attention to detail. A desire to accept responsibility and accountability for the conduct of allocated cases to conclusion, and a positive pro-active approach to service delivery. Knowledge of and engagement with Team operational and financial requirements. A team player with strong communication and correspondence skills. Strong organisational skills. Ability to manage, develop and create Client relationships. Professional demeanour. Financially astute, knows how to manage their WIP and debt effectively.

• Behave in a strongly customer focused way at all times to ensure development and maintenance of Client relationships
• Demonstrate personal integrity in a way which is consistent to the company\’s core values
• Communicate effectively by sharing, listening and exchanging information and knowledge at all levels
• Work within license and refer to colleagues as appropriate
• Demonstrate an enquiring, challenging and objective approach to claims handling
• Build and maintain positive working relationships within own team and across teams breaking down silos
• Demonstrate a solution and action oriented style in order to deliver against targets
• Demonstrate a flexible and resilient operational style
• Problem solving ability in order to recognise difficulties and take the appropriate steps to address the issues.
• Project management skills in order to deliver targets within budgets and timescales.
• Ability to demonstrate attention to detail.
• Dispute and resolution handling skills in order to manage high level customer complaints effectively and proactively.
• Efficient use of technology.
• Ability to work on own initiative and within a team environment.
• Strong communication skills, both written and verbal.
• Excellent customer service & organisational skills.