Senior Claims Adjuster - Med Mal / Healthcare - Manchester

Role Summary

Investigating and effectively handling medium to high complexity Healthcare / Medical Malpractice claims under limited technical direction. Working within specific limits of authority on assignments requiring significant technical complexity and coordination.

Key Responsibilities

• Managing a portfolio of medium to high complexity Healthcare / Medical Malpractice claims with limited supervision.
• Interpreting more complex or unusual policy coverages, and determining if coverages apply to claims submitted, escalating as needed.
• Coordinating and performing investigations and evaluating claims through contact with insureds, claimants, business partners, witnesses and experts. Seeking early resolution opportunities.
• Partnering with solicitors, customers, brokers, experts and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims.
• Proactively managing claims, setting appropriate reserves in line with reserving philosophy, and authorising payments within scope of authority.
• Utilising strong negotiation skills to develop complex settlement packages.
• Identifying claims with third party recovery potential and coordinating with subrogation team.
• Analysing claims activities, and preparing / presenting reports for management. May be responsible for special projects and presentations.
• Ensuring large and significant claims are identified at an early stage and management are notified and kept advised.
• Providing guidance, assistance and mentoring to less experienced claims staff and other areas of the business.

Key Requirements

• Significant claims handling experience, ideally with a focus on Medical Malpractice / Bodily Injury claims.
• Strong analytical and problem solving skills, enabling viable alternative solutions.
• Understanding of underwriting risk, disciplines and processes.
• Strong interpersonal, communication and negotiation skills, with the ability to effectively interact with internal and external business partners at all levels.