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Senior Claims Handler
1 month ago
MedPro Group is a Berkshire Hathaway company which has provided healthcare liability insurance since 1899. With over $2 billion in annual premium and more than 350,000 clients globally, MedPro Group is a leader in customised insurance, claims and patient safety & risk solutions for physicians, surgeons, dentists and other healthcare professionals, as well as hospitals, senior care and other healthcare facilities.
Outside of the US, MedPro offers malpractice insurance underwritten by Berkshire Hathaway sister companies, including Berkshire Hathaway European Insurance DAC (BHEI) and Berkshire Hathaway International Insurance Limited (BHIIL) who have each earned industry-leading financial strength ratings of AA+ (Standard & Poor's)*. We have a team of expert underwriters and claims specialists based in London, Manchester, Dublin and Lyon, working to provide the best service to our clients and protect their good names.
We specialise in healthcare liability insurance and are committed to providing peace of mind, expertise and choice to the global healthcare industry.
JOB DESCRIPTION
MedPro has an exciting opportunity for managing a caseload of medical malpractice claims for our international portfolio.This will consist of managing clinical negligence cases via instructing panel solicitors and liaising with the insured and panel for optimal claims outcome. In addition, the Senior Claims Handler will be expected to assist underwriting and risk with claims information, attending prospect and insured meetings and mentoring more junior members of staff within the claims team.
The role will report directly to the VP Head of Claims to ensure that claims have appropriate oversight and are handled efficiently taking commercial, reputational, regulatory and other policy considerations into account.
Key responsibilities
Manage a portfolio of medical malpractice claims, notifications, and regulatory healthcare matters, in accordance with the Medpro Claims Manual and regulatory requirements.
Proactively investigate and handle claims from first notice through resolution, including determination of coverage and analysis of liability, quantum and strategy.
Ensure adequate reserving pursuant to MedPro Reserving Philosophy.
Negotiate settlement of claims in conjunction with appointed experts.
Collaborate with internal and external stakeholders, including underwriters, brokers, solicitors, TPAs to improve organisational performance and provide optimal service to our insured clients.
Assist with panel and TPA management, including large loss claim review and audit.
Assist with the training and development of other team members.
At least 7 years' experience with Casualty claims across various jurisdictions (US, UK and Ireland beneficial).
Qualified to handle Irish claims (via ACII / FCII designation or other qualification recognised by CBI) or willingness to sit qualifying exams.
Familiarity with London Market systems (eg ECF) and operating protocols.
Understanding of the Common Law legal system.
In-depth knowledge of general insurance principles and practices.
Ability to interpret regulations and apply guidance when handling regulatory healthcare matters.
Ability to mentor and develop junior staff.
Sound judgement and ability to analyse complex matters and technical information.
Ability to analyse and challenge multiple strands of information that is provided by senior members of MedPro and sense check it to ensure consistency and rationality.
Experienced in stakeholder management.
An interest in professional and personal development.
Excellent oral and written communication, analytical and organisational skills.
Competence in MS Office applications, particularly Word and Excel.
Other relevant information:
This is a people-facing role requiring confidence, resilience and diplomacy. The successful candidate will be trustworthy with the utmost integrity. It is essential that this individual be able to work independently and proactively. They must also be a team player who can engender trust and respect from colleagues at all levels.
Employee Benefits Package includes:
Life Assurance @ 4 x annual salary
Group Income Protection
Pension @ 10% of annual salary (capped at £10,000 per annum)
Private Medical Insurance Cover
Season Ticket Loan
Complimentary eyesight test
Employee Assistance Programme
Family-friendly policies
Hybrid working model Hybrid flexible working: minimum 3 days in the office
25 days annual leave +
discretionary
Christmas shopping day + 8 bank holidays
Volunteer programme which supports our Corporate Social Responsibility philosophy and commitment to Diversity Equality and Inclusion ethos
Sports and Social programme with frequent all-employee events
Salary: Dependent on knowledge, experience and skills.
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