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Senior Accident & Health Claims Adjuster

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The details

Posted:

Arthur is delighted to be partnering with a leading global reinsurance and insurance provider, in their search for a Senior A&H Claims Adjuster. Operating for over 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions their continued success has led them to another exciting growth period. Throughout their history, the company has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. Their strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture.
 
Reporting to the Head of Claims, the primary purpose of this role is to lead the strategy development and execution of A&H Claims management within the company across Europe, Asia, Pacific and Latin America regions. The individual, will investigate, evaluate and resolve complex and high-value A&H claims, providing oversight and management to third party administrator (TPA) adjusters, lawyers and other external experts, with a wide degree of latitude for independent judgement. The individual will contribute across the organisation by providing input, advice and review to underwriters and actuaries, participate in onboarding and stewardship meetings with customers and influences operations.
 
You will be responsible for: 

  • Ensure alignment of A&H Claims Strategy and Operating Models with business needs, partnering with underwriting leadership
  • Oversee outsourced service providers (Assistance Providers, TPA’s etc.) for effective A&H claims management
  • Provide strategic data analysis, identifying trends and issues, and report findings to executive leadership
  • Collaborate with Country and Regional management to develop and monitor plans and targets
  • Manage and engage with various distribution channels, ensuring multi-territory capabilities
  • Support product development and profitability initiatives
  • Define and enhance Customer Experiences (journey mapping) for A&H customers, ensuring service excellence
  • Review and analyse complex coverage issues, prepare coverage letters, and case summary reports
  • Develop and execute claim and resolution strategies, including setting case reserves and preparing Large Claim Reports
  • Manage and oversee Third-Party Administrators (TPAs) and outside experts such as adjusters and legal professionals
  • Communicate and collaborate extensively with insureds, brokers, reinsurers, actuaries, and underwriters
  • Attend client meetings and industry functions to support client relationships and business development.

 
Your Skills, Experience and Qualifications:

  • Thorough understanding of A&H coverage and programmes
  • Good working understanding of London Market claims systems, i.e., ECF, IMR, Trax, etc
  • Knowledge of the insurance industry, claims process and legal and regulatory environment
  • Prior claims handling experience gained at mid/senior level
  • Experience working across multiple underwriting platforms, jurisdictions and markets
  • Ability and willingness to present to senior management and to others in other group settings
  • Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal departmental efficiency

 
For more information, please contact me on chris.hughes@arthur.co.uk or 0203 587 7471

Applications Closed