Lead Claims Handler

POSITION: Lead Claims Handler

ASSIGNMENT NO: 28440

LOCATION: London

Purpose of the Job:

To provide a claims handling service to members who are the subject of a clinical negligence claim

Key Activities/Accountabilities:

• Responsible for handling own caseload in accordance with Claims Handling Protocol
• Provide support for other members of the claims handling team & contribute to a positive team culture
• To investigate, quantify and negotiate claims
• Provide assistance & guidance to members during the claims handling process
• Maintain a good working knowledge of current technical & legal developments relevant to the work of the Claims Handling department
• Participate in educational activities & keep a record of training/educational activities
• Any other duties that are within the post holder’s capabilities

Qualifications & Experience:

• Claims handling experience in clinical negligence or other relevant business area such as personal injury, general insurance or legal environment

Job Related Competencies – knowledge, skills and attitude:

• Personal/General:
• Excellent oral & written communication
• Able to adapt & work under pressure, prioritising as necessary
• Supportive of other team members

Technical:

• Knowledge of Civil Procedure Rules
• Good negotiation skills
• Adherence to the Claims Handling Protocol
• Knowledge of IT systems, particularly in house (COMPASS & PROFILE)
• Keeps up to date with legislative changes & developing case law

Key Outputs/Performance Measures:

• Actively managing claims & maintaining case files in good order
• Ensuring case files are adequately reserved & reviewed in accordance with Claims Handling Protocol
• Compliance with Complaints Procedure
• Determination of indemnity coverage & adherence to protocol for referring coverage issues
• Contribute to project work within Claims Handling or other departments including writing at least one article per year for the Journal
• Control & minimise indemnity payments & defence costs

Job Context:

This position requires the post holder to manage a portfolio of claims, using technical skills to achieve the optimum result on each case. Adherence to legislative requirements & service standards is essential. The post holder must be flexible, self-motivated & able to work as part of a team.

To work within a team with claims handlers at various levels, providing support and assistance as required.