Direct message the job poster from Sedgwick Ireland
Talent Acquisition Lead @ Resource Solutions, Sedgwick Ireland
In partnership with our client Sedgwick, we are seeking an APA qualified claims handler based in Dublin South West.
Hybrid working model, 2 days a week office based.
The Role:
To efficiently and cost-effectively handle, negotiate, and settle claims within designated authority and agreed service standards.
Job Responsibilities:
* Manage the First Notification of Loss to determine the correct area for handling and liability in line with policy cover, allocating claims that fall into the category of Delegated Authority claims to panel loss adjusters;
* Handle all Property Damage claims (Home, Farm, and Commercial) and Property Public Liability claims from notification through to closure within agreed authority limits and service standards, in order to obtain optimum settlement for the company and customer;
* Handle all incoming telephone and written communication from customers/policyholders, their representatives, and all other interested parties in a proactive manner and within SLA’s;
* Provide excellent claims customer service to customers, their representatives, brokers, service providers, and interested parties in a friendly, courteous, and professional manner, ensuring a positive supportive customer experience throughout the claim process;
* Ensure that critical details are captured at all stages of the claim as comprehensively and accurately as possible;
* Ensure all claims are handled appropriately and that data captured in respect of fraud indicators is directed to the Team Fraud Coordinator and/or Claims Investigation Team, to ensure maximum detection of fraudulent or exaggerated claims;
* Establish and maintain adequate claims reserves;
* Provide technical advice to customers (claims process and next steps), Loss Adjusters, and Solicitors;
* Ensure personal understanding of regulatory framework and compliance with regulatory standards for claims handling;
* Work proactively to ensure that personal and team objectives and targets are met;
* Reflect the Claims Department strategy of a customer-centric approach.
Education:
Qualified to Certified Insurance Practitioner (CIP) or Approved Product Advisor (APA – Personal & Commercial Insurance).
Experience:
* Effective handling of claims (including recovery claims) ensuring optimum settlement for the company and customer including public liabilities;
* Claims review results (Quality, Claims Payments & Call Evaluations) within or exceeding claims service levels;
* Claims leakage within or exceeding target;
* Claims Fraud referrals within or exceeding target;
* Feedback from internal & external stakeholders;
* Accuracy and adequacy of claims reserves;
* Effective management of service providers on individual claims: Loss Adjusters, Solicitors, etc.;
* Demonstrate innovation, create and support an innovation culture within the team, looking at alternative processes or procedures which can create improved customer service or efficiencies.
Seniority Level
Associate
Employment Type
Full-time
Job Function
Administrative, Customer Service, and Finance
Industries
Insurance
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