Personal Injury Claims Handler - Haywards Heath, United Kingdom - Robertson Group

Robertson Group

Verified Company

Haywards Heath, United Kingdom

2 weeks ago

Posted by:

Tom O´Connor

beBee Recruiter

Description

Personal Injury Claims Handler job responsibilities:

Proactively record, process and settle claims in accordance with our principles and to maintain files within our service standards
Own and manage a portfolio, of moderately complex Personal Injury, third party motor claims and associated damage claims, as defined below; within own agreed authority levels.
Scottish Claims
Northern Ireland Claims
Vulnerable Road User Claims; Pedestrians, motor cyclists, bicycles
Specific KYO Claimant solicitors
Initial fraud concern cases, if not retained by Fraud, e.g., LVI
Moderate bodily injury claims and psychological trauma
Claims managed within the Personal Injury Claims Portals
Claims managed within the Credit Hire Portal
Knowledge of all relevant sections of MOJ Reforms, Civil Procedure Rules, Personal Injury Pre-Action Protocol and Road Traffic Act (as applies in all jurisdictions) and the implications of being RTA/ARTICLE 75 insurer
Manage and negotiate (a small caseload) of development files outside own authority limit on strict referral to Senior Personal injury Specialists
Manage Third Party Property Damage (TPPD), including credit hire claims, in accordance with FCIM's procedural requirements and own authority limits
Identify and champion potential fraudulent claims and action in accordance with FCIM's guidelines
To Identify and pursue all potential recoveries from the relevant parties
To ensure that all files are reserved accurately and promptly in accordance with our reserving philosophy (most likely outcome)
To be personally responsible for ensuring the reserves fully reflect the level of damages on each file
Ensure liability is agreed within existing case law and accident circumstances
Effectively negotiate, as appropriate, with customers, suppliers, and all relevant Third-Party representatives
To Process and Authorise claim payments as required and in accordance with personal authorities
Act as a mentor/buddy and referral point to Personal injury Handlers
Assist Colleagues and, as directed, is involved in new starter training
Participates in internal audit activity and completes fully Rolling review activity
Proactive management, assessment and sign off all litigation including tracking trends and identifying process improvements
Ensure that any bodily injury claims which exceed the large loss criteria are reviewed and promptly reported to the Large Loss team
Ensure all continuous improvement ideas are raised via the Team leader or Technical Lead.
Develop and maintain effective relationships with colleagues and business partners
Be responsible for own personal development requirements in specialist area, by attending all training sessions to ensure understanding of technical issues
Ensure that all expressions of dissatisfaction are registered in accordance with FCIM's complaint procedure
Achieve all personal objectives, Key Performance Indicators (KPI's) and Service Level Agreements (SLA's)
To carry out duties, activities and tasks as directed within the Claims and Fraud pillar to ensure all departments perform effectively and efficiently and meet the demands of First Central's customers and any third parties
Comply with the requirements, and act in accordance with, the Group Code of Conduct and Fitness and Propriety policies at all times
Ensure compliance with Company Policies, Values and guidelines and other relevant standards/ regulations at all times
To adhere to and consider all regulatory requirements at all times, including Consumer Duty, DPA, AML and Anti Bribery principles, and ensure all direct reports are compliant.
To be compliant with health and safety policies at all times
To ensure compliance with company standards/regulations at all times
Any other reasonable duties

Personal Injury Claims Handler experience & knowledge:

Strong motor claims experience working within a bodily injury claims environment
Experience handling claims within an OIC (Official Injury Claims) Portal or similar (Desirable)
Proficient experience of handling personal injury claims including indemnity validation, accurate reserve setting, liability resolution, quantum assessment and settlement techniques
Experience of handling third party Injury claims liaising effectively with different claimant representatives (KYO/ Non KYO)
Proficient knowledge of liability assessment
Proven track record in personal injury claim handling, including dealing with personal injury claims within and out with the RTA Portal
Technical expertise with exposure to third party claims including credit hire and liability
Commercial awareness
Knowledge of regulatory framework relating to Motor Claims Understanding of the main principles of English Law as it applies in the technical motor claims and legal field
Previous knowledge of FCA requirements (including TCF) and the regulatory framework relating to Motor claims
Understanding o