Description:
Based in our Tamworth office, the purpose of this role is to investigate insurance claims to determine the extent of liability on behalf on the client. The role will involve examining the damages to people and property (homes, vehicles and offices), as well as communicating with third parties to determine the amount of money owed. You will be managing the own damage and Third Party repair process from beginning to end.
Responsibilities
- Review and record claims on our in-house system within product standards, check policy coverage and allocate appropriate codes and reserves.
- Make liability enquiries, in accordance with Adjuster’s Manual, using most appropriate method (phone, correspondence, field visit).
- Evaluate quantum by gathering relevant evidence, adjusting reserves in accordance with GB realistic reserving philosophy.
- Clearly explain decisions on liability, negotiating settlement within authority level where appropriate.
- Respond to all written and phone enquiries clearly, courteously and promptly.
- Review claims regularly using diary system to ensure accurate reserves and timely closure.
- Develop relationships with clients by providing a friendly, efficient service.
- Liaise with and control own solicitors to ensure cases not abandoned to them.
- Assist in general office administration (eg post, printing, order supplies, maintaining equipment) to ensure smooth running of office.
- Comply with all Gallagher Bassett and office procedures.
- Actively participate in Gallagher Bassett training programme.
Qualifications
- Ability to verify and analyse coverage of adjuster level claims with moderate supervisor oversight.
- Ability to investigate adjuster level claims, build rapport with involved parties and establish facts of the case sufficient to support claims strategy with moderate supervisor oversight.
- Determining liability/compensability on adjuster level claims.
- Create and execute a proactive resolution strategy utilizing the facts gathered during the investigation of adjuster level claims.
- Establishes ultimate probable reserve as information comes available, reviewing and pro-actively managing on diary as evidenced in Claim Notes, under limited supervision. Ability to refer and ensure quality and timely carrier reporting.
- Thorough understanding of the litigation process. Early identification of the probability of settlement with moderate supervision.
- Recognise and proactively pursue resolution opportunities of adjuster level claims, including creative alternatives to typical resolutions, at the earliest point to deliver optimal outcome with moderate supervision.
- Recognise and proactively pursue recovery opportunities on adjuster level claims at earliest point.
- Demonstrates the ability to communicate in a complete, concise and logical manner. Supervisor input needed for complex or difficult situations.
- Demonstrates ability to prepare and present adjuster level claims while showing confidence and poise.
- Ability to build strong, effective relationships with clients/carriers/brokers through active listening and close adherence to their priorities, style and Service Instructions. Makes suggestions to solve problems.