Claims Handler Resume Samples
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Claims Handler Resume Samples
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UK
U Koch
Ulices
Koch
18038 Considine Trail
Detroit
MI
+1 (555) 803 5371
18038 Considine Trail
Detroit
MI
Phone
p
+1 (555) 803 5371
Experience
Experience
Philadelphia, PA
Claims Handler
Philadelphia, PA
Schuppe Inc
Philadelphia, PA
Claims Handler
- Develop and maintain excellent relationships with service providers
- Develop working relationship with clients to promote customer satisfaction
- Improving claims processes to assist lean process improvements while keeping a high standard in quality
- Ensure reserves are managed and reviewed as per reserving philosophy with transparency of activity and active management of case review
- Takes initiative when assisting team members
- Handle referrals/queries from Admin Assistants
- Understand the coverage provided by the Pen Underwriting Scheme Policies
Phoenix, AZ
Trainee Claims Handler
Phoenix, AZ
Kuhic-Emard
Phoenix, AZ
Trainee Claims Handler
- Manage own workload in order to service the client promptly and efficiently
- Develop working relationships with clients to promote customer satisfaction
- Support the Claims Handlers / Claims Manager in the administrative cycle of claims handling
- Eligible to work in the UK
- Advise / update clients of all relevant events and discussions during the claims process, ensuring complete customer satisfaction
- MS office proficiency
- Review insurer’s queries and resolve wherever possible
present
Chicago, IL
Senior Claims Handler
Chicago, IL
Osinski, Keebler and Schowalter
present
Chicago, IL
Senior Claims Handler
present
- Make outbound calls to carrier, injured employee & health care providers to obtain work status and case notes
- Recognize subrogation opportunities and communicate related information to Claims Manager and/or Adjuster
- Work with field staff to collect missing data as well as initiate and monitor light duty assignment
- Adhere to high standards of professional conduct while providing superior claims service
- Advanced knowledge of Microsoft Office Suite and potential to adapt to customized web-based software that is provided by the carriers
- To investigate and monitor developments on incidents which could give rise to claims
- To monitor the status of claims and claim types to ensure risk management and loss control issues are addressed, including public relations matters, newly developing claim trends and poor/ late methods of accident reporting. Such issues are to be notified to the Claims Manager immediately
Education
Education
Bachelor’s Degree in Versatility
Bachelor’s Degree in Versatility
Oregon State University
Bachelor’s Degree in Versatility
Skills
Skills
- A good ability to use standard MS office products being Outlook, Excel, Word and Powerpoint
- Ability to manage complex and highly confidential information
- Excellent social skills, able to operate with diplomacy
- Excellent interpersonal skills, including listening, verbal and written communication with the ability to communicate effectively
- Maximise productivity and profitability within the team
- Ability to deliver excellent customer service
- Quality; Delivering a high standard of claims handling with particular attention to the standard of work produced to ensure consistent and high quality of work
- Knowledge and experience of Household Claims, Commercial Claims handling would be desirable
- Develop and maintain excellent relationships with service providers
- Knowledge of the limitations of the companies delegated authority and claims handling agreement
15 Claims Handler resume templates
Read our complete resume writing guides
1
Professional Indemnity Claims Handler Resume Examples & Samples
- Handling a volume of Professional Indemnity claims and supporting clients towards full resolution
- Providing the legal/litigation team with support through the claim from first notification to settlement, and keeping clients up to date on progress
- Liaising with clients and all involved parties to build the case file, qualifiying all relevant information
- Supporting the senior Professional Indemnity claims handler within their role
- Administrative support as required
2
Professional Indemnity Claims Handler Resume Examples & Samples
- Claims review
- End to end process of the Professional Inmdemnity claim
- Portfolio of Claims
- Handling of private and confidential client information
- Execution of supporting documentation
- Meeting SLA Deadlines
- 3years experience
- CIP qualifications
- Desire to cultivate long term client realtionships in PI
3
Personal Injury Claims Handler Resume Examples & Samples
- Handling a portfolio of motor PI cases from notification to settlement
- Working with solicitors, third party providers, loss adjusters etc
- Keeping your portfolio of claims within SLA and negotiating fair settlements with claimants
- Managing customer queries, escalated claims and complaints
4
Claims Handler Resume Examples & Samples
- Managing customer interactions in an efficient, courteous and timely manner in order to deliver high standards of customer satisfaction
- Organising and using approved internal and/or external suppliers to ensure repair, replacement and supply of appropriate goods and services to customers
- Have strong communication and organisation skills
- Be available at short notice
- Commit to a twelve month contract duration
5
Claims Handler Apa Resume Examples & Samples
- Reviewing allocated cases and achieving settlement, within designated personal authority level, in line with established standards, procedures and guidance provided
- Identifying non-standard or complex claims and escalating to more qualified colleagues to ensure they are handled appropriately
- Supporting more experienced colleagues in the handling of non standard cases
- Contributing to the production of new policy wordings or reviews of existing policy wordings to ensure policy documentation is current and accurate
- Be CIP qualified or hold APA modules
6
Liability Claims Handler Resume Examples & Samples
- Review of case portfolio with a view to achieving settlement within organisation and regulatory requirements
- Managing client interactions in an efficient and courteous manner in order to minimise leakage and protect the interests of the business
- Escalating or referring claims that meet particular criteria and understanding the point at which escalation and/or referral is required
- 3+ years relevant experience within insurance
- Be CIP qualified
- Strong written and verbal communication skills are essential
- Strong computer skills especially MS Office
7
Motor Claims Handler Resume Examples & Samples
- Exceptional level of customer service
- 4 years Motor Claims / Personal Lines experience
- Strong understanding of the INsurance Industry
- Excellent Problem solving and negotiation skills
- Bubbly personality, understanding and empathetic
- CIP / APA Qualified
8
Liability Claims Handler Resume Examples & Samples
- End to end management of a complex liability claims portfolio
- Appointment and liaison with service providers - loss adjusters, brokers, solicitors and investigators
- Meeting with clients to discuss and present claim reviews
- Working closely with underwriting department to develop strong client relationships
- Negotiation with third parties and solicitors
- Ensuring that claims management processes are adhered to and reviewed to ensure exceptional customer service is delivered
- Provide training and mentoring to less experience staff on liability claims and processes
9
Motor Claims Handler Resume Examples & Samples
- Analysis of first notification of Own Damage and Third Party liability claims
- Manages portfolio of claims allocated
- Controls cost through identification of potentially fraudulent cases and recovery cases
- Works flexibly in the Motor Claims Team to meet customer needs
- Performs unit administration duties
- Undertakes special projects or assignments as required
10
Motor Claims Handler Resume Examples & Samples
- Skilled communicator & negotiator
- Ability to manage own time effectively
- Knowledge of contracts of insurance, particularly motor policies
11
Injury Claims Handler Resume Examples & Samples
- Managing a case load of injury type Motor & Liability claims from receipt through to settlement/agreed hand off
- Implementing the agreed strategy, policies, processes and procedures of the team - supporting change and implementing initiatives
- Handling an assigned workload of claims through to final settlement/agreed hand off in a pro-active and innovative manner and in accordance with specific personal and department targets
- 2-3 years injury claims handling experience
- In depth knowledge and demonstration of insurance policies and procedures, Injuries Board and Litigation processes and Personal injury valuations
- CIP qualified a minimum; ACII desirable but not essential
12
Claims Handler Resume Examples & Samples
- Process new insurance claims notifications made by customers, employees and third parties and determine what information is required to establish liability and to limit any possible liability on the company's part and gather said information value claims and manage the set reserve
- Pro-actively engage in settlement discussions with plaintiff's solicitors to settle claims where liability is not an issue at 'pre-PIAB award' stage
- Appoint solicitors to claim files and organise consultation meetings with witnesses and legal representatives
- Work closely with lawyers and insurers to coordinate the services that may be required to fully assess and defend the claim, including arranging for medical appointments, engineering inspections, loss adjuster, etc
- Support solicitors' defence and/or settlement efforts by completing information requests through liaising with all relevant departments in the organisation to obtain requested information
- Engage in legal discussions about the recovery of money from the party responsible for the loss as well as seeking indemnity from third parties where necessary
- On occasion, attend relevant cases when they come to court
- CIP / APA (Personal) qualified with a minimum of 3 years handling of personal injuries claims
- Good at absorbing information, eagerness to learn as well as embracing innovation and change
- Experienced in dealing with claims handling aspects of a file, pre-litigation and during litigation as well as previous experience of defending insurance claims
- Good understanding of the personal injuries litigation process in Ireland and strong analytical skills in order to be able to assess the claims and understand the liabilities of the business
13
Entry Level Claims Handler Resume Examples & Samples
- Ambitious
- Willingness to progress quickly
- Confidence
- Computer literacy is essential
14
Claims Handler Resume Examples & Samples
- Assisting the execution of new technology and claims innovation
- Improving claims processes to assist lean process improvements while keeping a high standard in quality
- Responsible for project requirements, ascertaining, planning, communication, training and implementation across a range of projects in the business
- Supporting Senior Executives in all aspects of managing and delivering required projects across the business functions
15
Junior Liability Claims Handler Resume Examples & Samples
- Working within a team environment managing a large portfolio of damage claims and pre-litigated claims
- Liaising with external personnel and other area of the business
- Dealing with early settlement claims
- Maximising all opportunities in order to promote the business at all times
- Implementing strategies and enable delivery of company targets
- Flexible and willing to get involved with other departments of the business when required
16
Claims Handler Resume Examples & Samples
- Advise / update clients of all relevant events and discussions during the claims process, ensuring complete customer satisfaction
- Develop working relationships with clients to promote customer satisfaction
- Maintain a sensitive and professional approach when dealing with matters which may have significant PR implications for the client
- Identify and inform Line Manager of any claims which may generate a complaint (e.g. unresponsive insurer, claim unreasonably repudiated or quantum unreasonably reduced)
- Process all claim notifications, further advices and collections in accordance with the Claims Division’s procedures
- Manage own workload in order to service the client promptly and efficiently
- Ensure that claims statistics, when required by the client, Placing Department or insurers on risk, are accurate and produced in accordance to SLAs
- Cert CII/ Dip CII (Chartered Insurance Institute) qualification desirable
- Practical knowledge of the CLASS system and ECF claims processing
- Previous experience within the insurance industry with specific claims handling focus
- Identify potential risk/issues and seek advice/consultation when required
- MS XL proficiency
17
Claims Handler Resume Examples & Samples
- Promptly handle and positively resolve all enquiries from both customer and external contacts to ensure delivery of a focused claims service
- Handle and execute all allocated claims workload in accordance with the companies laid down service standards
- Communicate effectively with Underwriting team prior to either confirming or declining cover
- Understand the coverage provided by the Pen Inc. OAMPS Scheme Policies
- Handle referrals/queries from Admin Assistants
- Operate within the confines of the agreed personal delegated claims authority as defined
- Assist other departmental staff with their allocated workload at the behest of the department manager, particularly in times of staff absence
- Utilise company preferred insurance pool
- Liaise as required with Accounts and Underwriting departments
- Liaise with Insurers
- Educated to GCSE standard or equivalent desirable
- Knowledge of market practices in settling third party claims, AD and total loss claims
- Understand the principals and practice of insurance, specifically relating to motor and non-motor insurance as applicable
- Previous claims handling experience preferred
- Comfortable working autonomously
- Numerate with the ability to present and analyse data
18
Claims Handler Resume Examples & Samples
- Deliver exceptional customer service when a customer needs to make a claim
- Communicate effectively with Customers, Loss Adjusters, Suppliers and other parties involved in the claims journey
- Knowledge and experience of Household Claims, Commercial Claims handling would be desirable
- Understand the principals and practice of insurance, specifically relating to Household and Property Claims
- Be an effective member of a successful team
19
Claims Handler Resume Examples & Samples
- Ensure market, insurance, legislation and other technical knowledge is developed and maintained to enable efficient claims handling
- Process all claim notifications, further advices and collections in accordance with the Claims Department’s procedures
- Advise and update clients of all relevant events and discussions during the claims process, ensuring complete customer satisfaction
- Ensure all necessary documentation is requested from the client (including completed claim forms, where applicable) in accordance with FCA protocols and/or any other regulatory requirements
- Liaise with your Line Manager regarding any issues, queries or areas of concern which may arise. Ensure you bring to your Line Manager’s attention any claims complaints (in addition to following the company’s general complaints procedure) and identify and inform your Line Manager of any claims which may generate a complaint (e.g. unresponsive insurer, claim unreasonably repudiated or quantum unreasonably reduced)
- Comply with AJG Professional Standards Manual in accordance with statutory requirements for role with specific attention, but not limited to Whistle Blowing, Treating Customers Fairly
20
Claims Handler Resume Examples & Samples
- Manage all claims from first notification through to settlement, checking that cover applies and obtaining estimates for all claims that require them
- Instruct suppliers to proceed with repairs or replacements
- Instruct Loss Adjustors on large claims as agreed under the delegated authority agreement
- Consider, evaluate and action any correspondence to negotiate and settle claims
- Identify and act upon Clients day to day needs and expectations by meeting agreed service levels and providing a professional service
- Review and maintain diaries and database information daily, taking appropriate action
- Develop and maintain excellent relationships with service providers
- Ensure company and regulatory procedures are followed
- Previous experience in claims handling of property or household claims
- Worked to targets within a regulated, measurable framework and achieved SLA’s
- Identify, act upon and empathise with Client’s needs
- Ability to use sound judgement as to when to refer to others within the company
21
Junior Claims Handler Resume Examples & Samples
- Regularly assess the status of claims with clients and/or insurers (as applicable) and ensure that all parties are informed of progress / chased for updates as necessary
- Support the Claims Handlers / Claims Manager in the administrative cycle of claims handling
- Liaise with Line Manager regarding any issues, queries or areas of concern which may arise. Ensuring you bring to your Line Manager’s attention any claims complaints (in addition to following the company’s general complaints procedure)
- Ensure all relevant internal Line of Business systems are updated regularly and that data held is 100% accurate at all times, to facilitate accurate claims reporting
- Update insurers and inform of any additional information acquired during the claims process
- Review insurer’s queries and resolve wherever possible
- Monitor progress of collections from insurers and ensure collections / payments are received / made in accordance to agreed SLAs, through liaison with the Accounts Department
- Ensure any outstanding payments are chased periodically, where applicable
- Ensure all relevant inward/outward correspondence is added to each claim file in the correct order, including contemporaneous notes of any telephone conversations / meetings
- Comply with AJG Professional Standards Manual in accordance with statutory requirements for role
- Educated to an A level standard or equivalent desirable
- Effective use and understanding of technology required to transact business
- Knowledge of MID procedures and requirements as applicable
- Excellent social skills, able to operate with diplomacy
22
Claims Handler Resume Examples & Samples
- Review insurer’s queries and resolve same wherever possible
- Monitor progress of collections from insurers and ensure collections / payments are received / made in a timely fashion, through liaison with the Accounts Department. Ensure any outstanding payments are chased periodically, where applicable
- Ensure that claims statistics, when required by the client, Placing Department or insurers on risk, are accurate and produced in a timely fashion
23
Motor Claims Handler Resume Examples & Samples
- Administers, investigates and is responsible for settlement of material damage Claims
- Negotiates fair settlement in line with Company standards
- Liaises with Customers, Brokers, Company Service Providers and Claimants in person, by telephone and by written correspondence
- Is responsible of prompt handling of first and third party claims taking responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focussed claims service
- Reviews, resolves and proactively finalises claims within authority limits
- Acquires and efficiently organises the relevant evidence and information to accurately assess the value of the claim and to recognise potential fraud/recovery indicators
- Adheres to local regulatory and governance requirements throughout the life of the claim
- Refers to customer specific claims handling protocol and/or customer proposition service charter to ensure that we understand and fulfil the needs and expectations of our customers
- Works as part of a team focused on the achievement of challenging service levels with customer centricity crucial to all processes
- Gets involved in project or adhoc duties to support management
- A minimum of 2 honours in Higher Level subjects in the Leaving Certificate or Third Level Qualification (minimum Diploma Standard) or equivalent industry qualification
- Applicants should hold or have the desire to pursue a Certificate in Insurance Practice (CII) and/or Association of Insurance Institute ACII qualification. In recognition of this, a comprehensive study support package will be provided
- Ability to recognise and understand appropriate legislative regulations
- Working at all times lawfully and in accordance with pre-defined regulatory compliance
- High level IT and administration skills
24
Claims Handler Resume Examples & Samples
- Appetite to learn and achieve professional qualifications
- Numeracy and literacy skills (to GCSE level/equivalent)
- Previous Claims experience would be an advantage
25
Claims Handler Resume Examples & Samples
- Deliver a high quality, cost effective claims service to customers
- Ensure effective and prompt settlement of claims in specialist areas
- Additionally
26
Claims Handler Level Resume Examples & Samples
- Ability to work in a team/team player
- Ability to coach; motivate & develop where appropriate
- Computer-literate
27
Claims Handler Resume Examples & Samples
- Develop working relationship with clients to promote customer satisfaction
- Cert CII qualified or the willingness to study to achieve this qualification within the first 6 months of employment
- Experience of handling the recovery of uninsured losses
- Working knowledge of credit hire and loss of use claims an advantage
- Excellent interpersonal skills, including listening, verbal and written communication with the ability to communicate effectively
- Ability to manage complex and highly confidential information
- Problem-solver
28
Trainee Claims Handler Resume Examples & Samples
- Work or educational experience in a numeric field (e.g. Finance/Financial Services, Investment & Risk, Accounting, Economics, Mathematics)
- Numeracy and computer literacy (e.g. Microsoft Word, Excel and Outlook)
- Able to analyse data and make decisions confidently
- Strong administration skills with meticulous attention to detail
29
Claims Handler Resume Examples & Samples
- Promptly handles and positively resolves all enquiries from customers, Brokers and external contacts by taking ownership and being accountable to ensure delivery of a focused world class claims service
- Contribute to a positive and supportive team culture
- Supervisory responsibilities on an ad hoc basis as required
- Technical knowledge of products and services
- Understand legislation and legal liability
- Understand industry standards and protocol
- Ideally attained Cert CII qualification or progress towards it
- Knowledge of claims agreements
- Interpretation of policy cover
- Good & effective negotiation skills
30
Bodily Injury Claims Handler Resume Examples & Samples
- Pro actively managing the end to end process of all third party injury claims to establish and maintain accurate claim reserves up to £30,000 (within your own financial handling authority) to manage the overall expenditure throughout the lifecycle of the claim
- Effective gathering of information to enable early arrival at the correct liability decision giving consideration to economic settlement, pro-actively secure appropriate recoveries to limit business exposure
- Handle and deal with all Low Value Pre-Action Protocol injury (MOJ Stage 3) litigation up to a value of £25000 within court deadlines, liaising with Counsel as appropriate. Refer all other litigated cases (non MOJ) requiring legal intervention to our Proactive Partner - Parabis
- Manage and own the customer experience (including third party), ensuring adherence at all times to the principles of Treating Customers Fairly, highlighting where you do not feel our processes support contribution to the overall success of the business
- Manage and maintain effective relationship with both internal (Hire ; Damage Management ; Counter Fraud, Underwriting) and external stakeholders (Rehabilitation providers, medical experts, Counsel, Forensic Accountants, Brokers) to ensure adherence to internal and external policies, procedures and governance , whilst controlling indemnity spend
- Ability to settle fracture claims involving cyclists, pedestrians ,motorcyclists where surgery may have been required
31
Motor Bodily Injury Claims Handler Resume Examples & Samples
- Investigating the circumstances surrounding accidents
- Identifying potential fraudulent cases and liaising with the relevant departments to combat fraud
- Negotiating between the Policy holder and Solicitors to get the best outcome for our customers
- Assessing medical reports and learning the skills required to confidently negotiate the value of the injury with Solicitors & get the best settlement for the Company
- Learning to deal with the Legal processes involved in the litigation of certain cases
- Settle Third Party Claims within financial handling authority up to a value of £30,000 through active negotiation to achieve the optimum claims settlement using department and best practice strategies, whilst at all times giving appropriate consideration to avoidance of unjustified litigation
- Maintain an awareness of solicitor behaviours and changes in relevant legislation to understand the market place and BI handling approaches to provide suggestions for improvements
- Develop self in line with the leadership framework in order to maximise personal contribution to your role and to understand how it fits into the wider Claims operating model to include acting as a technical mentor / referral point to enhance capability development
- Previous experience within Bodily Injury beneficial
- Ability to mentor less experienced consultants
- Ability to handle more complicated liability cases
32
Technical Claims Handler Resume Examples & Samples
- Ownership & accountability for Disaster, Recovery & Restoration claims, utilising digital evidence including video and photographs to create a scope for repairs to facilitate settlement negotiation
- Continue to manage claims on a delegated authority basis, following a claim through to completion and settlement
- Negotiating a settlement with customers and arranging payments, appointing suppliers where necessary
- Maintaining an accurate reserve
- Determine rectification works necessary and act as point of technical referral
- Point of contact for updates, progress and co-ordination of the claim with close management of the customers expectations
- Support Home Claims, involving a subrogated recovery element, by carrying out investigations and providing information relevant to possible recovery opportunities
- Identify, own and manage the risks involved in running our business appropriate to the role in line with the Direct Line Group risk framework
- Experience of handling a caseload of Technical Claims, including; Initiation & Liability Investigation, Negotiation and Settlement, Claims Quantum, Assessment & Reserving and/or Claims Recovery
- Knowledge of Regulatory Compliance
- Excellent Customer Service
- Effective time management
- Knowledge of insurance principles & practice
- Knowledge/experience of fraud investigations
- The ideal candidate will currently be operating in a similar capacity, as a Loss Adjuster, Claims Incident Manager or Technical Claims Handler/Manager
- British Damage Management Association Qualified / Building Restoration background would be desirable
33
Damage Management Claims Handler Resume Examples & Samples
- Clear and articulate communication skills
- Empathy and understanding
- Forward thinking and proactive working style
- Logical and organised
- Flexible rewards including Life insurance, income protection, critical illness insurance, personal accident insurance
- My Discounts - a discounts website for all our employees, with great discounts, cash back savings and offers across hundreds of brilliant high street brands, travel, tickets, gym memberships and much more
34
Claims Handler Liability Resume Examples & Samples
- Preferable an academic degree within law or legal background
- Preferable a few years of specific claims experience
- Technical claims handling knowledge within the designated line of business/claim type is an advantage
- Fluent in Swedish as well as solid English skills are required
35
Motor Claims Handler Resume Examples & Samples
- Promptly handles and positively resolves all enquiries from both customers and external contacts to ensure delivery of a focused claims service
- Reviews, resolves and proactively finalises claims within authority limits ensuring settlement at an optimum level with consideration to business implications
- A flexible and co-operative approach towards changing business needs
- Effective communication skills that allow for positive feedback from team members and colleagues
36
Claims Handler Resume Examples & Samples
- Ensure that claims statistics, when required by the client, Placing Department or Insurers on risk, are accurate and produced in a timely fashion
- Knowledge of market practices in all classes of business
- Previous claims handling experience is essential
- Experience of Excel essential
37
Claims Handler Financial Lines Resume Examples & Samples
- Acquires and efficiently organises the relevant evidence and information to accurately assess the financial loss and to recognise potential fraud/recovery indicators
- Reviews, resolves and proactively finalises claims within authority limits ensuring settlement at an optimum level
- Adheres to local regulatory and governance requirements throughout the life of the claim to ensure that we make decisions using the right standards
- Refers to customer specific claims handling protocol and/or customer proposition service charter to ensure that we understand & fulfill the needs and expectations of our customers
- Committed to deliver excellent customer service
- Insurance professional with law degree or legal background
- License to practice (“advokatbevilgning”) is preferred but not an absolute demand
- Several years of specific claims experience
- Good level of technical claims handling knowledge within the designated line of business/claim type
- Fluent in Norwegian and English
38
Claims Handler Resume Examples & Samples
- Promptly handles and positively resolves all enquiries from both customer and external contacts to ensure delivery of a focused claims service
- Supervisory responsibilities ad hoc basis as required
- Previous Insurance Claims experience (within Motor, Personal Injury, Property or Liability)
- Proven experience in promptly handling and resolving queries with a focused claims service
- Ability to review, resolve and proactively finalise claims within authority limits
- Experience of working within a team and coping with varying workloads and pressures
39
Senior Claims Handler Resume Examples & Samples
- Experience of Personal Injury claims and a good knowledge of litigation required
- To administer claims within the authority granted by the insurer on classes of business as directed from time to time. To liaise with the insurer frequently by way of update on such serious claims
- To investigate and monitor developments on incidents which could give rise to claims
- To liaise with insurers, loss adjusters and solicitors as required, to assist in their investigations into claims
- To monitor the status of claims and claim types to ensure risk management and loss control issues are addressed, including public relations matters, newly developing claim trends and poor/ late methods of accident reporting. Such issues are to be notified to the Claims Manager immediately
- Negotiation to point of settlement claims within pre-agreed criteria
- The jobholder will be in frequent contact with claimants, sometimes in confrontational situations; the jobholder must display diplomacy and tact in these situations as they are ambassadors for the group and all must be done to stop an escalation of the matter. The jobholder will have to work on their own initiative in such situations and take decisions on issues of liability, where necessary, if this limits such escalation
- We are looking for someone with public liability or employer’s liability experience
- Experience of dealing with personal injury, property damage etc., is essential
- Contact with the Customer Relations Department is required where incidents or claims are of a serious or contentious nature
- External contacts include customers and claimants. Additional external contacts are with insurers, brokers, loss adjusters and solicitors, either acting for the customer/ claimant or the group. A large part of the job entails speaking directly to the public, a task which requires patience, diplomacy and tact
- At least 2 years previous experience in a similar working environment or within the claims unit of an insurance company is additionally sought
- Attention to detail is paramount
- A good working knowledge of the legal process and legislation surrounding compensation claims is essential
40
Casualty Claims Handler Resume Examples & Samples
- Maximise productivity and profitability within the team
- Must have previous Casualty or Personal Injury claims experience
- Experience of working with EL/PL Claims
- Decision making
- Relevant experience of working either in general insurance or customer facing financial services environment
- Progress towards CII qualification
41
Trainee Claims Handler Resume Examples & Samples
- Offer appropriate technical advice to clients throughout the claims process. Be supportive, empathetic and effectively manage their expectations regarding the claim process, timescales, policy and/or legal liability and quantum
- Ensure market / insurance / legislation and other technical knowledge is developed and maintained to enable efficient claims handling
- Monitor progress of collections from insurers and ensure collections / payments are received / made in accordance with agreed SLAs, through liaison with the Accounts Department
- Ensure that claims statistics, when required by the client, Placing Department or insurers on risk, are accurate and produced in accordance with SLAs
- Educated to A’Level standard or equivalent required
- Understanding of the basic principles and practice of insurance would be desirable
- Previous claims handling experience desirable, although not essential
- Proactive approach
42
Claims Handler Resume Examples & Samples
- Knowledge of FCA requirements, specifically in respect of data security and management of customer information
- Knowledge of the companies compliance procedures
- Knowledge of the limitations of the companies delegated authority and claims handling agreement
- Knowledge and understanding of the companies various policies contained within the policies and procedures folder in the compliance directory, including but not limited to the “conflict of interest policy”, “complaints procedure”, “Whistle blowing policy” and other policies which may be circulated from time to time
- Adequate level of numeracy and literacy
- Basic financial management skills
- Firm grasp of need to be accurate in use and entry of data
- A good ability to use standard MS office products being Outlook, Excel, Word and Powerpoint
43
Senior Claims Handler Resume Examples & Samples
- Adhere to high standards of professional conduct while providing superior claims service
- Responsible for conducting employee, client and internal contact on all assigned claims
- Provide guidance to injured employees that will promote wellness and be conducive to timely claims conclusion
- Review new claim reports and determine the most effective handling procedure for each individual claim
- Monitor follow up appointments and facilitate on going compliance
- Work with field staff to collect missing data as well as initiate and monitor light duty assignment
- Promptly and effectively handle to conclusion basic claims without the need for direction or oversight
- Process complex claims with moderate direction and oversight
- Communicate effectively with and maintain a good working relationship with Adjusters, Attorneys, Brokers, Agents, Clients, Claimants, Consultants and System One Staff/co-workers
- Prepare files for suit, trial, and/or subrogation
- Maintain an effective diary on all assigned claims, to include departmental and personal calendars
- Must be able to complete state and other regulatory forms as required by each State Workers Compensation Statutes and/or State Regulatory Rules with moderate direction in keeping with regulatory deadlines
- Maintenance and completion of SOH stats for entry into BLS surveys, compliance and prequalification inquiries and web based software as well as OSHA reporting
- Better than basic understanding of OSHA guidelines with emphasis on the regulations relating to worker’s compensation claims
- Submit FROI to the carrier with appropriate tracking designations in keeping with deadlines
- Identify potential fraud through validation of claims information
- Identify and assess claims facets that warrant review for potential denials
- Recognize subrogation opportunities and communicate related information to Claims Manager and/or Adjuster
- Make outbound calls to carrier, injured employee & health care providers to obtain work status and case notes
- Receive and respond to inbound calls from clients, claimants, adjusters and System One staff
- Ensure that all claim documents are maintained in both the electronic and paper file
- Must Demonstrate the ability to take the lead, if required, in the absence of supervision, within defined parameters
- Employ low cost strategies for claims resolution
44
Debt Recovery Claims Handler Apprenticeship Resume Examples & Samples
- Adherence with all company processes and procedures
- Basic level of numeracy and literacy
- Respect for confidentiality
- Good time-keeping
- Step 1: Quick online application - During your online application, we’ll be gathering information about you and will take less than 30 minutes. You can save your application and come back to it if you don’t have time but please make sure you complete your application within 14 days
- Step 2: Online assessment - Once a member of our Recruitment Team has reviewed your application and you’ve passed the eligibility screen, you will be invited to complete an online Maths and English assessment. This should take no more than 30 minutes, and is designed to capture your Maths and English skills
- Step 3: Telephone interview - The telephone interview is just a short 15 minute conversation with a member of our resourcing team, for them to get a feel for why you’ve applied for the role and the skills you have to do it well
- Step 4: Assessment Centre- This is a chance for you to come in for a face-to-face meeting and group exercise to find out more about Direct Line Group and the role you have applied for, as well seeing the office you’ve applied to work in
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Claims Handler Specialist Resume Examples & Samples
- Manage the claim evaluation process, gathering relevant information by interviewing claimants and investigating the damage for each individual unique claim
- Determine the best resources to complete the claim including pricing negotiation, scheduling of the job and ordering glass parts
- Review, process, and track invoices for payment in accordance with negotiated terms
- Secure materials from suppliers at best cost, quality, and urgency of need
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Household Claims Handler Resume Examples & Samples
- Setting up new household claims, capturing accurate information and establishing the facts of the incident from the caller
- Accurately check all details on a claim after every call
- Liaise with our Third Party Suppliers to ensure they have all the relevant information to handle a claim, chase for responses if required and make sure all relevant documentation is returned to us at claim settlement
- Ensure Underwriter requirements are checked in respect of the submission of household claims
- Undertake special projects, as required
- Meet and exceed departmental quality targets
- Ensure that we are treating customers fairly and act in a professional manner at all times. Handlers will be responsible for ensuring that customer information is safeguarded at all times and we follow the Data Protection Act 1998
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Claims Handler Resume Examples & Samples
- Legal degree and/or insurance related claims handling experience
- Strong team working skills
- Has a flexible approach to working hours and has the ability to work offsite where required
- Has a ‘can-do’ attitude
- Proficient with Microsoft office
- Has a proactive attitude and good organisational skills
- Proficient in following rules and procedures
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Claims Handler Financial Lines Resume Examples & Samples
- Refers to customer specific claims handling protocols to ensure that we understand & fulfill the needs and expectations of our customers
- A few years of specific claims experience
- Sound level of technical claims handling knowledge within the designated line of business/claim type
- Excellent written and verbal communication skills in both English and Swedish
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Senior Bodily Injury Claims Handler Resume Examples & Samples
- The successful candidate will be committed to achieve the highest standards of customer care and display excellent interpersonal and communication skills in every task
- You must have attained a minimum qualification which is CIP status or be grandfatheredto be able to do this role
- The role holder will promote and encourage a team to build morale whilst coaching and mentoring Bodily Injury Handlers to fulfil their potential
- You will promote internal relationships with other areas of the business and be an ambassador for Zurich Claims
- You will possess excellent organisational skills and display the ability to manage your time and workload as required, while displaying a flexible approach to your work and learning
- A minimum of 7 years relevant claims handler experience, handling large portfolios of bodily injury claims
- CIP qualification / grandfathered status required. Progress towards ACII qualification will be beneficial
- Must be accredited under the Minimum Competency Requirements
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EL / PL Claims Handler Resume Examples & Samples
- To manage a client’s claim by continually using the firm’s technical process and accurately documenting each activity that has taken place and ensuring time is recorded accurately. To manage all client work allocated in accordance with the detailed procedures and quality standards contained in the firm’s manual and client protocol
- To complete all necessary investigations into the circumstances of the incident and the value of the client’s claim, carrying out legal research as required. To collate and review the evidence. To assess prospects of the claim succeeding on it’s merits. To assess the likely value of the claim for personal injury and recoverability of financial losses
- To ensure clients are provided the correct legal advice. Where appropriate, managing clients’ expectations, explaining decisions and the steps in the claims process clearly and succinctly, and ensuring clients are treated fairly at all times
- To negotiate settlement on the best possible terms for the Client ensuring that instructions are complied with or taken at the necessary points. Ensuring that the legal expenses provider is kept updated at all key stages
- To draft the necessary documents to issue court proceedings, comply with court directions, draft statements and ready the file for a final court hearing. To instruct counsel as necessary, drafting the brief and checking costs statements
- To identify, own and manage the risks involved in running our business appropriate to the role, in line with the relevant risk framework and in compliance with all DLG Legal Services policies and procedures, the Solicitors Accounts Rules and the SRA Code of Conduct at all times
- To manage cases efficiently and effectively. Making sure that client work is progressed efficiently to meet departmental targets and Service Level Agreements and the client is kept proactively informed where appropriate. Agreed levels of billing and time recording must be achieved. Incoming post should be reviewed daily and responded to promptly
- To identify and appropriately investigate all conflicts, complaints and potential acts of negligence and ensure they are reported immediately to a team leader or member of the compliance team
- To ensure good working relationships with team-mates, team leader, management and administrative staff as well as maintaining a good working relationship with suppliers, external organisations and the work-source
- To support the strategic development of the department and firm by developing best practice and the client experience through continuous improvement initiatives
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Claims Handler Resume Examples & Samples
- Knowledge of market practices in insurance claims
- Previous claims handling experience
- Arthur J. Gallagher is the brand name for the international broking division of Arthur J. Gallagher & Co. – a division that is headquartered in London and covers territories outside of the United States stretching from the UK to Australia, from Canada to the Caribbean, and from Latin America to Asia, employing more than 6500 staff
- As part of one of the world’s largest insurance brokerage and risk management companies — which employs more than 19,000 people worldwide across 30 different countries— we benefit from significant international reach and a global network that can offer client service capabilities in more than 140 countries
- At Gallagher, we are proud of our ability to put our clients – not our products – at the centre of our operations. Whether we are addressing the needs of individuals, small businesses or international conglomerates, our people, our technical expertise and our global reach deliver first-class coverage, risk management advice and placement expertise
- Founded in 1927, Arthur J. Gallagher & Co. is now one of the largest risk management and insurance broking companies in the world, with its corporate headquarters in Itasca, Illinois, and total assets in excess of $6.8 billion (as at 31 December 2013)
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Claims Handler Resume Examples & Samples
- Obtaining a detailed working knowledge of the Canadian insurance market from a claims perspective
- Gaining an understanding of contract conditions, with particular reference to the insurance and indemnity clauses
- Gaining an understanding of policy wordings in connection with
- Legal degree and/or insurance-related claims handling experience
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Surety Claims Handler Resume Examples & Samples
- Juris Doctor and 5 or more years of experience in the Surety Claims or Litigation area
- Analytical skills
- Experience collaborating across work groups
- Designations such as AIC, SCLA, CPCU, are ideal
