Description:
To handle a portfolio of EL/GL claims of intermediate complexity from coverage enquiry through legal liability assessment (where relevant) and
quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all key internal and external stakeholders. Provide a high standard of customer service and adherence to legal and regulatory requirements.
Duties and Responsibilities
1. Functional Responsibilities:
- Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a consistently strong standard of customer service.
- Ensuring effective vendor and litigation management on Complex claims within a personal allocation.
- Broader internal / external stakeholder communication where required
- Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes
- Contribute to maintenance of best practice procedures for EL/GL intermediate to high value Complex claims, consistent with global best practice.
- Demonstrate a high standard of technical claims competence. Demonstrate a strong standard of competence in handling intermediate to advanced complex claims in Line of Business
2. Accountabilities:
- Timely, accurate and customer focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense for claims of medium to high complexity
- Effective communication of key medium to high Complexity claims and EL/portfolio messages to internal stakeholders and external stakeholders.
- Financial control through consistent reserve and other financial transaction discipline
- Accurate and consistent policy interpretation against claims of intermediate to high complexity