Claims Adjuster - Industrial Disease (Asbestos)

I am currently partnered with a leading Insurer who are seeking a Claims Adjuster to join their growing Industrial Disease Claims team. This role will be adjusting Industrial Disease Claims including Asbestosis, Pleural Plaques, Pleural Thickening, Silicosis, and HAVS (Hand/Arm Vibration) from UK&I jurisdictions. My client is looking for someone with experience of handling Asbestos related Claims and this is essential for the role.

Key Responsibilities

• Maintain accurate and up-to-date claims files by recording and updating information in line with best practices, reflecting high levels of technical complexity and exposure.
• Apply sound judgment to verify policy coverage, analysing whether losses fall within the scope of the policy.
• Determine liability by gathering and assessing relevant facts, applying applicable law, and considering principles of negligence and breach of duty.
• Drive timely claim resolution by developing and executing case strategies, evaluating claims, and escalating issues where appropriate.
• Adhere to all relevant service level agreements (SLAs).
• Establish and maintain appropriate reserves in line with SLAs, regularly reviewing and validating claim values within delegated authority limits.
• Assess damages by calculating applicable amounts or ranges in accordance with legal frameworks.
• Negotiate settlements using appropriate strategies, tools, and resources within authority levels, referring higher-value claims as required.
• Deliver high standards of customer service through proactive communication and timely responses in line with service protocols.
• Manage litigation where necessary by instructing panel solicitors, setting litigation strategies and budgets, monitoring progress, reviewing costs, and authorising payments.
• Ensure compliance with all applicable legal, regulatory, and internal control requirements.
• Maximise recoveries and ensure all contribution opportunities are pursued.
• Escalate suspected fraudulent activity to management promptly.
• Support profitable growth by identifying trends, emerging risks, and providing relevant insights.
• Act as a technical resource by mentoring junior colleagues and sharing expertise within the relevant line of business.
• Protect the organisation's reputation by maintaining confidentiality and ensuring fair treatment of customers.
• Maintain and develop professional knowledge through ongoing learning, industry awareness, and participation in relevant networks and professional bodies.
• Contribute to team objectives by supporting colleagues and participating in projects as required.
• Identify and resolve issues by applying established policies, procedures, and standards to ensure consistent and high-quality outcomes.
• Take ownership of personal development and continuously seek improvement.
• Recognise when to seek guidance from senior colleagues on complex matters to ensure quality and support learning.
• Demonstrate behaviours aligned with organisational values and a collaborative team approach.
• Stay up to date with legal, regulatory, and medical developments relevant to claims handling.
• Adopt a proactive approach to claims management, focusing on early resolution to reduce claim lifecycle and associated costs.
• Ensure all valid policy obligations are met while delivering fair customer outcomes and meeting conduct requirements.
• Participate in audits, due diligence activities, and policyholder meetings as required.
• Comply with all company policies, maintaining confidentiality and acting as a professional representative of the organisation at all times.