Senior Claims Adjuster - D&O/FI in City of London

Role Purpose

To assess and evaluate the recoverability of all Casualty claims including complex, contentious and high value claims on policies underwritten by the Company whilst operating in line with the claims procedure guidelines and general compliance/regulatory and Company procedures. Additionally assist the Claims Manager with the supervision and development of the Claims team.

Responsibilities

• Manage claims processing in line with Starr and Lloyd’s Minimum Standards and your letter of authority;
• Process Electronic Claim Files (ECF) and Settle Direct claims via DOCOsoft and in line with Starr and Lloyd’s Minimum Standards;
• Effective management of Claims outcomes, including reporting to and sign off by the Claims Manager where appropriate;
• Produce timely and accurate large loss forms for Senior Management’s review;
• Attend client meetings with Underwriters and/or Claims Managers (UK or internationally) to provide specific claims handling expertise or relationship management for the account;
• Ensure Coverholder / Delegated Claims Administrators (DCA’s) submissions are processed on time and are compliant with the Service Level Agreement and adhering to Starr standards through review and approval of claims in excess of delegated authority;
• Ensure the DOCOsoft workflow, including diaries, are proactively managed and claims recorded accurately. Ensure all relevant documentation is attached to each transaction and use comprehensive notes, outlining the current status and next steps, in order to enhance claims outcomes and reduce static claims;
• Reviewing loss fund adequacy and manage recovery of loss funds on prior years;
• Ensure that binding authority and cover holder claims are processed in line with Starr standards;
• Monitor and manage ECF/Lirma incompletes;
• Produce ad-hoc claims reports and statistical support to Claims Managers and underwriters as required;
• Act as a referral point on delegated tasks and step into the role of the Claims Manager where appropriate.

Required Experience

Approx. 10 years D&O/FI Claims experience within insurance/reinsurance; Must have primary lead claims handling experience.