Claims Adjuster Level 4
Gallagher Affinity
Swindon, Wiltshire, United Kingdom
23h ago

Gallagher Bassett was established in Chicago in 1962 as a Third Party Administrator (TPA) providing claims and risk control services to self-insured clients and now has 125 branches and over 3,600 skilled professionals in the USA, UK, Australia and Canada.

Gallagher Bassett UK was founded in 1991 and now has twelve offices across the UK with over 300 claims handling staff.

Gallagher Bassett UK provides claims management and risk management services to corporate, national and local government, insurer and broker clients.

We are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. We present opportunities that not only enable our company to remain an industry leader but also provide employees with limitless possibilities for success and personal growth.

Main Purpose of Role : To handle claims to conclusion, particularly complex claims without the need for direct supervision, within product standards by investigating liability, evaluating damages, negotiating settlement or justifying repudiations.

Key Responsibilities :

  • Review and record claims on ourin-house system within product standards, check policy coverage and allocateappropriate codes and reserves.
  • Make liability enquiries, inaccordance with Adjuster’s Manual, using most appropriate method (phone,correspondence, field visit).
  • Evaluate quantum by gatheringrelevant evidence, adjusting reserves in accordance with GB realistic reservingphilosophy.
  • Clearly explain decisions onliability, negotiating settlement within authority level where appropriate.
  • Respond to all written and phoneenquiries clearly, courteously and promptly.
  • Review claims regularly usingdiary system to ensure accurate reserves and timely closure.
  • Develop relationships withclients by providing a friendly, efficient service.
  • Liaise with and control ownsolicitors to ensure cases not abandoned to them.
  • Assist in general office administration(eg post, printing, order supplies, maintaining equipment) to ensure smoothrunning of office.
  • Actively participate in GallagherBassett training programme.
  • Comply with all Gallagher Bassettand office procedures
  • Any other duties as required byGallagher Bassett
  • Person Specification :

  • Ability to verify and analyse coverage of adjuster level claims with moderate supervisor oversight.
  • Ability to investigate adjuster level claims, build rapport with involved parties and establish facts of the case sufficient to support claims strategy with moderate supervisor oversight.
  • Determining liability / compensability on adjuster level claims.
  • Create and execute a proactive resolution strategy utilizing the facts gathered during the investigation of adjuster level claims.
  • Establishes ultimate probable reserve as information comes available, reviewing and pro-actively managing on diary as evidenced in Claim Notes, under limited supervision.
  • Ability to refer and ensure quality and timely carrier reporting.

  • Thorough understanding of the litigation process. Early identification of the probability of settlement with moderate supervision.
  • Recognise and proactively pursue resolution opportunities of adjuster level claims, including creative alternatives to typical resolutions, at the earliest point to deliver optimal outcome with moderate supervision.
  • Recognise and proactively pursue recovery opportunities on adjuster level claims at earliest point.
  • Demonstrates the ability to communicate in a complete, concise and logical manner. Supervisor input needed for complex or difficult situations.
  • Demonstrates ability to prepare and present adjuster level claims while showing confidence and poise.
  • Ability to build strong, effective relationships with clients / carriers / brokers through active listening and close adherence to their priorities, style and Service Instructions.
  • Makes suggestions to solve problems.

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