Experienced Bodily Injury Claims Specialist
Type: Permanent Category: Customer Service, Office Support / Admin
Job Summary:
* We are seeking an experienced Bodily Injury Claims Specialist to join our Claims Team in Rosslare, Wexford or Blackrock, Dublin.
* The successful candidate will be responsible for overseeing and monitoring the delivery of a robust and effective control environment related to the provision of claims services provided by TPA to ensure the service provided meets the needs of its customers.
Key Responsibilities:
* Oversight of a portfolio of motor damage and bodily injury claims handled under delegated authority by a TPA.
* Assisting in the oversight of services provided by our property loss adjusting panel.
* Implementing and managing procedures, controls, and escalation processes to ensure the timeliness and accuracy of the TPA's handling of motor damage and bodily injury claims under delegated authority.
* Completing due diligence, technical guidance, and contract development on new and existing TPA's.
* Overseeing claims which are outside the scope of the TPA's claims handling authority and providing direction on setting of reserves, policy coverage, investigation strategies, and settlement of claims.
* Monitoring claim reserves and preparing files for referral to the reserve Committee as required.
* Managing and coordinating complaints made by customers.
* Assisting in scheduling, organisation, and conducting of TPA and loss adjuster claim file audits.
* Participating in wider departmental claim file audits or legal panel audits as required.
* Proactively working towards a system of continuous improvement around processes and procedures.
Requirements:
* A minimum of 5 years relevant claims handling experience managing a portfolio of bodily injury claims.
* At least 3 years' experience handling household and commercial property claims would be preferred.
* CIP qualification required and ACII qualification desirable.
* Must be accredited under the Minimum Competency Requirements.
* Demonstrate an advanced standard of technical claims competence for handling moderate to high complexity bodily injury claims up to High Court level.
* Demonstrate an intermediate standard of technical claims competence for handling household and commercial property claims.
* Possess strong policy language skills enabling accurate and consistent policy wording interpretation for coverage oversight.
* Knowledge and/or experience managing TPA's and/or property loss adjusters a distinct advantage.
* Experience in Managing Large Self-Insured Risks.
* Extensive experience in negotiation, particularly via attendance at Court.
* A strong understanding of Governance & Oversight standards & requirements.
* Ability to recognise, understand, and adhere to appropriate legislative regulations.
* Strong communication skills, both written and verbal.
* Desire to learn and be flexible to business change.
About Us:
Our client is one of Ireland's leading general insurance companies offering a wide range of insurance products.