Expert Claims Resolution Specialist
3 days ago
This role involves managing a portfolio of complex and litigated claims, providing advice and guidance to the claims team, and handling a range of responsibilities including investigation, negotiation, and dispute resolution.
Key Responsibilities:- Manage a diverse portfolio of mixed liability claims, including litigated matters, to ensure effective case management and optimal outcomes.
- Assess the nature of losses and coverage provided, then negotiate and investigate each claim, communicating effectively with all relevant parties.
- Act as a point of contact for complex matters, ensuring timely and efficient resolution.
- Review declinatures and provide advice on next steps to ensure seamless process progression.
- Support the team leader in managing complex claims, providing information on claim trends and assisting in strategic decision-making.
- Provide technical support and guidance to the wider claims team, enhancing their skills and expertise.
- Offer expert advice on coverage and policy interpretation, ensuring maximized benefits for clients.
- Proactively drive claim progress, identifying opportunities for improvement and implementing effective solutions.
- Collaborate with clients, external service providers, and other insurance organizations to ensure cohesive and effective communication.
- Experience in managing a diverse portfolio of mixed liability claims (including PI, Construction, and ML) is essential.
- Legal qualifications are advantageous but not essential; strong understanding of complex and litigated claims matters is critical.
- Effective communication, negotiation, dispute resolution, and decision-making skills are paramount.
- Ability to build strong rapport with service providers and customers is vital.
- Confidence in managing the claims process and all relevant parties is essential.
- Experience in IDR and AFCA disputes is highly desirable.
- Ability to identify and manage potential coverage issues is crucial.
- Team-focused attitude with proven ability to guide less experienced claims consultants is essential.
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