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Senior Complex Claims Adjuster Casualty

Meer details
1050 Brussels
Match criteria
  • Brussel
Job Type
  • Insurance
  • ,
  • Legal
Type contract
  • Vast

De functie

What you need to know:

To handle the Casualty portfolio of claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all key internal andexternal stakeholders.

To provide training and be a technical referral point for other team members. As appropriate act as deputy for Team Manager.

Duties and Responsibilities

1. Functional Responsibilities:

  • Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate for high value complex claims
  • Ensuring effective vendor and litigation management on Complex claims within a personal allocation, including demonstrable savings
  • Reporting key claims messages to their Team Manager and to internal stakeholders
  • Broader internal / external stakeholder communication where required, as casualty technical claims expert and thought leader
  • Delivery of technical training to colleagues and external contacts as appropriate
  • Assist in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes (potentially assisting Team Manager to complete monthly quality assurance reviews?)
  • Ensure adherence to best practice procedures for casualty Complex claims, consistent with global best practice.
  • Handle higher level of complexity claims Complex losses within authority limits

2. Accountabilities:

  • Timely, accurate and customer focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense
  • Effective communication and management of key advanced Complex claims and Casualty portfolio messages to internal stakeholders and customers/clients.
  • Financial control through consistent reserve and other financial transaction discipline
  • Accurate and consistent policy interpretation

Het profiel

What we’re looking for:

  • Excellent communication skills, both written & verbal
  • Good presentation skills and file knowledge
  • Time management – ability to manage & prioritise workload and diary management
  • Ability to contribute effectively within a team environment and with internal/external stakeholders at all levels
  • Ability to assist with technical training to team claim handlers as required
  • Ability to influence claims and non claims stakeholders to effectively direct claims strategy
  • Well developed/Advanced expertise and knowledge in Casualty most technically complex claims topics (as listed over page).
  • Policy language skills enabling accurate and consistent policy wording interpretation
  • Advanced and thorough knowledge of legal / regulatory and litigation / procedural requirements for their line of business
  • Experience in negotiation, mediation, arbitration and ADR skills on higher value complex claims
  • Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement

Onze klant

A leading international insurance organization



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