Senior Claims Adjuster - US Healthcare

About us

Chaucer is a leading insurance group at Lloyd's, the world's specialist insurance market. We help protect industries around the world from the risks they face. Our customers include major airlines, energy companies, shipping groups, global manufacturers and property groups.

Headquartered in London, with international hubs in Copenhagen, Dubai, Miami, Dublin, Singapore, Sydney and Bermuda, to be closer to our clients across the world. To learn more about us please visit our website www.chaucergroup.com

The role

The Senior Claims Adjuster is responsible for managing a portfolio of casualty claims, primarily those originating from the US Healthcare book, from first notification through to settlement. This includes instructing surveyors, adjusters, and lawyers as needed, and ensuring that all records accurately reflect the current status of each claim. The role supports the Claims Manager and the wider claims team in delivering Chaucer's claims proposition to key internal and external stakeholders, such as policyholders, brokers, and underwriters. The adjuster will also liaise with co-insurers, manage service providers, maintain accurate electronic claims files, and communicate effectively with management and other departments to address claims trends and issues.

Main duties

- Responsible for handling US Healthcare and casualty claims from various Chaucer offices and on both Lloyd's and company platforms from first advice through to closure including determining coverage, setting reserves and settlement.

- Liaising with co-insurers on large or contentious claims (including issuing market circulars)

- Assigning, managing, controlling, and liaising with relevant service providers during the life of a claim including lawyers, loss adjusters, delegated claims administrators (DCAs).

- Maintaining files for all lead and Claims Agreement Party claims ensuring that Chaucer's electronic claims records accurately reflect the current position.

- Attending and arranging market, broker and client meetings in person or virtually as appropriate.

- Advising the claims manager and class underwriters of material claims and keep them appraised of developments thereafter.

- Effectively communicating with management and key internal departments such as underwriting and actuarial to ensure they are kept aware of any key claims trends/issues so that appropriate steps can be taken to address any concerns.

- Liaising with the Reinsurance department to assist them with notifications and subsequent updates to reinsurers.

- Consult with class underwriters in situations where clarification of underwriting intent is required, referring to line manager for escalation where requests for ex-gratia / commercial settlements have been presented, and where coverage is disputed.

- Building and maintaining relationships with brokers, adjusters, agents, coverholders, DCAs and other

service providers, dealing with them in an efficient, polite and professional manner.

- Exercise knowledge of the laws of tort and contract and keep abreast of relevant statutory and case developments.

- Keep abreast of technical developments within the International Casualty business area by attending appropriate presentations and undertaking own research as necessary.

- Undertake business travel when necessary.

Regulatory responsibilities

To provide guidance to customers:

- On how to make and/or progress a claim

- By supplying appropriate information to the customer on any claim being handled

- By endeavouring to achieve prompt agreement on settlement terms and paying valid claims in a timely manner once settlement terms have been agreed

- Ensure that customer complaints are promptly identified, recorded and referred as appropriate

- Ensure that the principles of Treating Customers Fairly are upheld by agents and service providers

- Maintain compliance with any regulatory training requirement (e.g. California Claims Handling Regulations)

- Compliance with regulatory bodies such as Lloyd's and the FCA.

Skills, Knowledge and Experience

Experience

Essential:

5 years + experience handling US Healthcare claims for a London market insurer.

Desirable:

Experience handling claims from other US casualty lines such as professional indemnity, general liability and life science.

Skills

Competent with Microsoft Office applications such as Word and Excel.

Competent with key London market systems such as ECF.

Qualifications

Desirable:

Studying towards or completed ACII qualification

Competencies

Ability to work pro-actively without direct supervision

Ability to effectively collaborate with others

Excellent organisational and time management skills

Good communication skills with the ability to liaise at all levels

A flexible and diplomatic approach with an investigative and enquiring mind essential