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Clinical Negligence Claims Handler
Ref. JO0000007321

Position Clinical Negligence Claims Handler
Sector Claims Examining
Location City of London, City
Type Permanent
Salary £40K - £50K / Annum
Reference JO0000007321
Summary Medical Negligence Claims Handler



Location: City of London

Type: Permanent

Salary: to £50,000 (depending on expertise and knowledge) + benefits



An opportunity to join a small team of healthcare claims specialists within a leading global insurer, underwriting on a Lloyds platform and company markets.



Tasks and duties:

Assist with management of portfolio of Lloyd's and Company Casualty and Medical Malpractice claims, to include setting up new claims if necessary.

Manage and maintain monthly bordereau and Escrow accounts for claims that fall within the TPA delegated authority.

Manage and handle claims that fall outside any Delegated Authority.

Draft and issue correspondence as directed.

Investigate, follow up, and otherwise monitor the development of claims.

Review incoming claim correspondence on existing claims, formulate response and create workflows.

Establish and authorize adequate reserve amounts within authority levels based on exposure and recommend reserves beyond authority to appropriate management as necessary.

Negotiate settlements and/or cost-sharing agreements within specified authority.

Assist with coordination of and carrying out of TPA audits if necessary.

Review and maintain claims diary.

Assist underwriters with any general claims queries, client meetings and produce claims experiences where necessary

Liaise with brokers, solicitors, underwriters and other stakeholders.

Assist with Lloyd's and Company reporting requirements.

Handle Lloyd's and Company claims within designated SLAs and KPI's.

Assist with special projects as required.



Skills, knowledge and experience:

A proven track record of handling Medical Malpractice lead and follow claims.

Good understanding of Casualty and Healthcare policy wordings.

Experience of managing bordereau and escrow accounts on binder business.

Experience of handling multi-jurisdictional claims.

Experience of managing TPAs.

Knowledge of London market and European claim environments.

The ability to work in a team environment.

Can work with senior management, claims/legal professionals, other insurers, brokers, affiliated companies, or clients.

A self-starter who can handle a diverse range of claims and responsibilities.



REF ~ 7321

MW Appointments is acting as an Employment Agency in relation to this vacancy.
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