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Canopius Group

Claims Adjuster - NAF

London
Posted 7 days ago
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Casualty Binders Claims Adjuster

About the Role

The Casualty Binders Claims Adjuster is responsible for the effective oversight, control, and handling of US Casualty claims written under package delegated authority arrangements. The role ensures claims are managed in accordance with policy terms, claims handling agreements, internal claims governance, and applicable regulatory requirements. The position focuses on delivering fair outcomes and providing strong technical stewardship across delegated portfolios, operating within defined claims authority limits and ensuring compliance with the Claims Manual and delegated authority governance requirements.


Key Responsibilities

Claims Handling & Technical Oversight

  • Oversee and manage US Casualty claims arising from delegated authority arrangements, including:
    • Third-party liability
    • Bodily injury
    • Property damage
    • Related casualty exposures
  • Conduct coverage analysis and provide technical direction on:
    • Liability
    • Quantum
    • Reserving
    • Settlement strategy for delegated claims
  • Act as a referral point for complex, large loss, or coverage-sensitive claims:
    • Escalate as required in line with authority levels and governance requirements
  • Review and approve:
    • Coverage positions
    • Reservation of rights
    • Declinatures
    • Settlement recommendations prepared by delegated claims administrators (DCAs) or third-party administrators (TPAs)

Delegated Authority & Vendor Management

  • Contribute to day-to-day oversight and challenge of:
    • DCAs
    • TPAs to ensure compliance with:
      • Claims handling agreements
      • Service level agreements
      • Internal claims standards
  • Act as an escalation point for:
    • Performance issues
    • Quality concerns
    • Conduct-related problems
    • Supporting remediation plans where required

Financial & Reserving Control

  • Ensure accurate and timely reserving in line with:
    • Best practice
    • Authority limits
    • Internal reserving guidelines
  • Monitor:
    • Loss funds
    • Large loss development
    • Financial movements across binder portfolios
  • Support actuarial, finance, and management reporting through:
    • High-quality commentary
    • Claims insights

Governance, Compliance & Stakeholder Management

  • Ensure claims are handled in compliance with:
    • Internal Claims Manuals
    • Regulatory requirements
    • Delegated authority governance frameworks
  • Support:
    • Audits
    • Peer reviews
    • Internal assurance activities
  • Collaborate with:
    • Underwriting
    • Compliance
    • Actuarial
    • Legal teams to support:
    • Underwriting intent
    • Portfolio performance
    • Risk management
  • Participate in:
    • Underwriting meetings
    • Broker meetings
    • Coverholder meetings
    • TPA meetings to provide:
    • Claims input
    • Portfolio feedback

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Requirements

The ideal candidate will hold/would have:

  • Proven experience handling or overseeing US casualty claims, ideally within a binder or delegated authority environment.
  • Strong technical understanding of:
    • Liability coverage
    • Policy interpretation
    • Claims lifecycle management
  • Experience working with:
    • TPAs
    • DCAs
    • Outsourced claims providers
  • Sound knowledge of:
    • Reserving principles
    • Claims financial controls
  • Strong written and verbal communication skills, with the ability to:
    • Challenge constructively
    • Influence stakeholders
  • Familiarity with:
    • Lloyd’s or company market delegated authority frameworks
  • Experience supporting:
    • Audits
    • Coverholder reviews
    • Performance improvement plans
  • Strong attention to detail and sound technical judgement.
  • Confident decision-maker, comfortable working within defined authority levels.
  • Organised, proactive, and able to:
    • Manage competing priorities across multiple portfolios
  • Collaborative team player with a continuous improvement mindset.

Canopius Competencies

Stakeholder Engagement

  • Cultivates and maintains positive relationships with relevant internal or external stakeholders.
  • Effectively involves and communicates to drive collaboration, support, and alignment for shared goals.

Collaboration And Teamwork

  • Works effectively with team members, project groups, or those outside formal authority.
  • Actively participates in teams, develops cohesive team relations, and possesses knowledge of colleagues’ work.

Adapting To Change

  • Adjusts thoughts, feelings, and behaviors to handle new or challenging situations — embraces change as an opportunity for growth.

Continuous Improvement

  • Analyzes business requirements and identifies strategies to enhance products, services, or processes.
  • Guides and inspires others to achieve results, fostering efficiency, quality, and consistency.

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Innovation

  • Creates, develops, and implements new ideas to improve processes, systems, or solutions.
  • Uses different and novel approaches to address challenges and opportunities.

Resilience

  • Copes with and recovers from setbacks and challenges.
  • Perseverages under pressure or crisis situations and uses ways that foster strength and resilience.

Future Focused

  • Anticipates changes in regulations, technology, and client needs.
  • Proactively responds to industry trends through identifying opportunities and obstacles while planning effectively.

Benefits

Canopius offers a comprehensive benefits package to support both financial and holistic wellbeing, including:

  • Hybrid working
  • Competitive base salary
  • Non-contributory pension
  • Discretionary bonus
  • Insurance benefits, including:
    • Health cover (family)
    • Dental cover
  • Additional support to enhance:
    • Financial health
    • Physical wellbeing
    • Social and psychological health

About Canopius

Canopius is a global specialty lines (re)insurer. We are one of the leading insurers in the Lloyd’s of London insurance market, with offices globally, including the UK, US, Singapore, Australia, and Bermuda.

At Canopius, we foster a distinctive, positive culture that enables employees to bring their whole selves to work and thrive. This environment supports building a business that delivers profitable and sustainable results.

Our commitment includes:

  • An enviable hybrid working model
  • Innovative offices in central London
  • A culture that challenges employees to be their best
  • Valuing and respecting diverse contributions

We uphold complete commitment to equal employment opportunities and strive to provide an environment free of discrimination or harassment. Employment decisions are made based on merit alone, irrespective of:

  • Age
  • Sex
  • Gender identity
  • Ethnicity
  • Disability
  • Sexual orientation
  • Socio-economic background
  • Religion or beliefs
  • Marital or caring responsibilities

We are fully committed to reasonable adjustments throughout the recruitment process and during employment. Contact us if you require any information in an alternate format or assistance with adjustments.

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Skills

Claims Handling
Technical Oversight
Liability Coverage
Policy Interpretation
Claims Lifecycle Management
Vendor Management
Financial Control
Reserving Principles
Communication Skills
Stakeholder Engagement
Collaboration
Continuous Improvement
Innovation
Resilience
Future Focused

Location

London, England, United Kingdom

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