Claims Adjuster, Non Auto Plines
Core
Manage intermediate to high value complex claims in A&H (Accident & Health) lines, focusing on coverage determination, quantum analysis, legal liability assessment, and vendor/litigation management.
Role type
Senior IC claims adjuster (A&H complex claims)
Builds
Resolved claims files and managed vendor/litigation outcomes for A&H portfolio
Domain
Insurance (Accident & Health)
Required skills
A&H technical claims knowledge, policy interpretation, legal/regulatory knowledge, vendor management, litigation management, financial control (reserving), audit compliance
Preferred skills
BCP, PGI, HI certifications, stakeholder communication, continuous improvement
Technologies
Claims management systems, audit tools
Responsibilities
Manage key claims handling enquiries including coverage and liability assessment; Ensure effective vendor and litigation management on complex claims; Conduct audits of Third Party Administrators; Contribute to maintenance of best practice procedures for complex claims; Demonstrate technical competence in handling intermediate to advanced complex claims
Seniority
Senior, hands-on IC