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The Emerald Group Ltd, Search and Selection

Senior Claims Adjuster

London
Posted 16 days ago
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Senior Claims Adjuster

Role: Senior Claims Adjuster – Specialty/Casualty Location: London

Purpose: Provide expert technical handling of complex and specialist insurance claims, ensuring accurate claim evaluation, regulatory compliance, effective stakeholder management, and delivery of high-quality customer service while supporting business objectives and claims strategy.

Key Responsibilities: Evaluate and process claims estimates and paid claims accurately and within required timescales, ensuring compliance with policy terms and conditions. Investigate and resolve complex and specialist claims, minimising leakage and delivering excellent customer outcomes. Review and manage estimates and billings submitted by clients and brokers, resolving discrepancies efficiently. Identify, analyse, and address coverage issues to ensure liability decisions align with contractual obligations. Pursue subrogation, contribution, and recovery opportunities where appropriate. Support delivery of claims strategy and operational plans to achieve business targets and priorities. Produce statistical, analytical, and management information reports to support monitoring and decision-making. Act as a referral point for colleagues, providing technical guidance on complex claims and specialist matters. Maintain effective relationships with clients, brokers, TPAs, third-party experts, and internal stakeholders. Ensure compliance with applicable regulatory requirements and internal governance standards.

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Skills & Experience: Extensive technical Casualty claims handling experience within a regulated insurance environment. Strong knowledge of delegated authority and third-party claims management from technical, operational, and commercial perspectives. Proven experience managing complex and disputed claims and providing expert technical guidance. Strong investigative, analytical, problem-solving, and negotiation skills. Excellent interpersonal and communication skills with the ability to build strong stakeholder relationships. Customer-focused approach with strong attention to detail and service delivery. Ability to produce detailed reports, management information, and claims analysis. Proficient in Microsoft Office applications, including Word, Excel, and PowerPoint.

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Qualifications: Insurance qualifications (e.g. ACII or equivalent) in progress preferred.

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Skills

Claims Handling
Regulatory Compliance
Stakeholder Management
Customer Service
Analytical Skills
Problem-Solving
Negotiation Skills
Interpersonal Skills
Technical Guidance
Investigative Skills
Attention to Detail
Microsoft Office
Subrogation
Coverage Issues
Claims Strategy
Reporting

Location

London, England, United Kingdom

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