PositionClinical Negligence Claims Handler SectorClaims Examining LocationCity of London, City TypePermanent Salary£40K - £50K / Annum ReferenceJO0000007321 SummaryMedical Negligence Claims Handler
Location : City of London
Type : Permanent
Salary : to £50,000 (depending on expertise and knowledge) + benefits
An opportunity to join a small team of healthcare claims specialists within a leading global insurer, underwriting on a Lloyds platform and company markets.
Tasks and duties :
Assist with management of portfolio of Lloyd's and Company Casualty and Medical Malpractice claims, to include setting up new claims if necessary.
Manage and maintain monthly bordereau and Escrow accounts for claims that fall within the TPA delegated authority.
Manage and handle claims that fall outside any Delegated Authority.
Draft and issue correspondence as directed.
Investigate, follow up, and otherwise monitor the development of claims.
Review incoming claim correspondence on existing claims, formulate response and create workflows.
Establish and authorize adequate reserve amounts within authority levels based on exposure and recommend reserves beyond authority to appropriate management as necessary.
Negotiate settlements and / or cost-sharing agreements within specified authority.
Assist with coordination of and carrying out of TPA audits if necessary.
Review and maintain claims diary.
Assist underwriters with any general claims queries, client meetings and produce claims experiences where necessary
Liaise with brokers, solicitors, underwriters and other stakeholders.
Assist with Lloyd's and Company reporting requirements.
Handle Lloyd's and Company claims within designated SLAs and KPI's.
Assist with special projects as required.
Skills, knowledge and experience :
A proven track record of handling Medical Malpractice lead and follow claims.
Good understanding of Casualty and Healthcare policy wordings.
Experience of managing bordereau and escrow accounts on binder business.
Experience of handling multi-jurisdictional claims.
Experience of managing TPAs.
Knowledge of London market and European claim environments.
The ability to work in a team environment.
Can work with senior management, claims / legal professionals, other insurers, brokers, affiliated companies, or clients.
A self-starter who can handle a diverse range of claims and responsibilities.
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