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The Claims Handler – Disease & Injury Claims role sits within the GB Retail Claims team, a part of the Corporate Risk and Broking (CRB) Business Unit. The Disease Claims Handler will be responsible for managing and processing liability claims related to diseases. This role involves investigating claims, assessing liability, and ensuring timely and accurate resolution. The ideal candidate will have a strong understanding of insurance policies, medical terminology, and legal regulations related to disease claims in the UK.
Working closely with colleagues in the UK (Ipswich) as well as other business areas, you will ensure high-quality claims service while supporting key client outcomes. This role offers opportunities for professional development, training, and collaboration with clients and stakeholders.
Key Responsibilities
- Claims Investigation: Conduct thorough investigations of disease-related liability claims, including gathering medical records, witness statements, and other relevant documentation.
- Assessment: Evaluate the validity of claims, determine liability, and calculate appropriate compensation based on policy terms and conditions.
- Archaeological Searches: Perform archaeological searches to uncover historical insurance coverage.
- Use of ELTO: Utilize the Employers' Liability Tracing Office (ELTO) database to trace employers' liability insurance policies and ensure accurate apportionment of claims.
- Apportionment History: Assess and document the apportionment history of claims to determine the proportionate liability of multiple insurers.
- Communication: Maintain clear and professional communication with claimants, medical professionals, legal representatives, and other stakeholders throughout the claims process.
- Documentation: Ensure all claims are accurately documented and updated in the claims management system.
- Compliance: Adhere to all legal and regulatory requirements related to disease claims handling in the UK.
- Resolution: Negotiate settlements and resolve claims in a timely and efficient manner.
- Reporting: Prepare detailed reports and summaries of claims activities for management review
- Monitor Key Client Outcomes (KCOs) and ensure compliance with industry regulations.
- Provide quality assurance, claims auditing, and stakeholder management.
- Support continuous improvement initiatives, training, and knowledge sharing within the team.