A&H Complex Claims Adjuster

A&H Complex Claims Adjuster

Duration: 12 Months

Croydon (Can consider hybrid once fully trained)

Rates: £375.86 Per Day Via Umbrella / Inside IR35

Who we are

Client is a leading global insurance organization. Client member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks.

We're also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs.

Get to know the business

General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world's most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network.

About the role

What you need to know:

· To actively support the Personal Accident Claims function in attaining its objectives through the proactive assessment and management of genuine claims with the agreed settlement authority limit.

· Contribute to the department achieving its overall objectives through ensuring delivery of a customer focused service whilst operating within a legal regulatory framework.

Duties & Responsibilities:

· Handle and investigate all Complex Claims that have been allocated in accordance with agreed internal service levels, best practice requirements and against policy conditions.

· Develop and maintain technical and soft skills to enable accurate assessment and reserving of Complex Claims in accordance with specific best guidelines and specified authority limit.

· Promote compliance with best practice for all aspects of claims assessment within personal accident adhering to the specific procedures and processes that are applicable to Corporate and Direct policies.

· Actively promote and demonstrate the principles of Treating Customers Fairly in claims handling. Reinforce the FCA and internal Complaints procedures and the application in dealing with disputed claims.

· Proactively identify and review suspect/fraudulent claims using the key fraud indicators.

What we're looking for:

· Previous Accident & Health or Personal Accident claims experience

· Policy language skills enabling accurate and consistent policy wording interpretation

· A basic knowledge of legal/regulatory and litigation procedural requirements

· Strong verbal and written communication skills

· Time management - ability to handle multiple priorities, organize work and meet deadlines.

· Attention to detail and the ability to problem solve

· Strong customer service and negotiating skills