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Senior Liability Adjuster (Medical Malpractice)

Crawford & Company

LondonHybridFull Time5-10 years
Posted 1 week ago
  • The role will encompass technical adjusting within the Medical Malpractice and Clinical Negligence team within SLS.
  • The role is office based with UK travel at times required, in addition intermittent overnight stays may be necessary.
  • International travel maybe required in accordance with business needs.

Responsibilities

  • Receiving and acknowledging new claims.
  • Conducting detailed investigations, gathering all required supporting documentation, to include the taking of witness statements, consideration of medical and other records.
  • Preparing reports commenting in detail on all aspects of the claim, including policy analysis and coverage, and liability, quantum and future actions.
  • Managing a portfolio of liability claims on a cradle to grave basis, these are mainly medical malpractice in nature but can extend to clinical trial claims and some PL, EL and Product claims. Some claims will be international.
  • Identifying claim potential to ensure suitable referral, and compliance, with the licensing levels
  • Maintaining an awareness of current technical and legal developments with the necessary application to case load.
  • Ensuring that all work/correspondence is prioritised and handled proactively.
  • Instructing and controlling lawyers, forensic scientists, engineers, medical consultants and other experts as appropriate.
  • Preparing case management plans, visiting Insurers, Reinsurers, Claimants and the Insured as required.
  • Ensuring all work/correspondence is prioritised and handled effectively
  • Ability to be flexible, providing cover for other adjusters as and when required.
  • Ability to develop working relationships with existing clients and helping to identify and plan approaches to new clients.
  • Contribute to the designated Team productivity and financial targets through effective planning and organization of personal workload.
  • Ability to manage WIP and debt.
  • Maintaining Client relationships through management and delivery of SLA's and achievement of KPI’s, SLA compliance performance at 90%
  • Ensuring all Adjusting activities are fully compliant with the company’s procedures, published company Technical Claims Handling Guidelines and external regulatory requirements.
  • Demonstrating knowledge and/or awareness of FSA procedures and the TCF initiative
  • Actively seeking to develop oneself and to take responsibility for your own training and development
  • Maintaining awareness of Business Continuity programme and role within it.
  • Ability to deliver 3x salary from workload
  • Willingness to be trained upon and to handle new lines of business.

Qualifications

Essential:

  • Able to manage a mixed portfolio of Specialist Liability losses within Medical Malpractice/ Clinical Negligence
  • An ability to evidence technical excellence in the investigation and handling of Cradle to Grave and Delegated Authority instructions.
  • Strong attention to detail.
  • A desire to accept responsibility and accountability for the conduct of allocated cases to conclusion, and a positive pro-active approach to service delivery.
  • Knowledge of and engagement with Team operational and financial requirements.
  • A team player with strong communication and correspondence skills.
  • Strong organisational skills.
  • Ability to manage, develop and create Client relationships.
  • Financially astute, knows how to manage their WIP and debt effectively.
  • Behave in a strongly customer focused way at all times to ensure development and maintenance of Client relationships
  • Demonstrate personal integrity in a way which is consistent to the company’s core values
  • Communicate effectively by sharing, listening and exchanging information and knowledge at all levels
  • Work within license and refer to colleagues as appropriate
  • Build and maintain positive working relationships within own team and across teams breaking down silos
  • Demonstrate a solution and action oriented style in order to deliver against targets
  • Demonstrate a flexible and resilient operational style
  • Problem solving ability in order to recognise difficulties and take the appropriate steps to address the issues.
  • Excellent customer service & organisational skills.
  • Flexibility in travelling

Desirable:

  • Demonstrate an enquiring, challenging and objective approach to claims handling
  • Project management skills in order to deliver targets within budgets and timescales.
  • Dispute and resolution handling skills in order to manage high level customer complaints effectively and proactively.

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