Senior Claims Adjuster

Role: Senior Claims Adjuster – Specialty/Casualty

Location: London

Purpose:

• Provide expert technical handling of complex and specialist insurance claims, ensuring accurate claim evaluation, regulatory compliance, effective stakeholder management, and delivery of high-quality customer service while supporting business objectives and claims strategy.

Key Responsibilities:

• Evaluate and process claims estimates and paid claims accurately and within required timescales, ensuring compliance with policy terms and conditions.
• Investigate and resolve complex and specialist claims, minimising leakage and delivering excellent customer outcomes.
• Review and manage estimates and billings submitted by clients and brokers, resolving discrepancies efficiently.
• Identify, analyse, and address coverage issues to ensure liability decisions align with contractual obligations.
• Pursue subrogation, contribution, and recovery opportunities where appropriate.
• Support delivery of claims strategy and operational plans to achieve business targets and priorities.
• Produce statistical, analytical, and management information reports to support monitoring and decision-making.
• Act as a referral point for colleagues, providing technical guidance on complex claims and specialist matters.
• Maintain effective relationships with clients, brokers, TPAs, third-party experts, and internal stakeholders.
• Ensure compliance with applicable regulatory requirements and internal governance standards.

Skills & Experience:

• Extensive technical Casualty claims handling experience within a regulated insurance environment.
• Strong knowledge of delegated authority and third-party claims management from technical, operational, and commercial perspectives.
• Proven experience managing complex and disputed claims and providing expert technical guidance.
• Strong investigative, analytical, problem-solving, and negotiation skills.
• Excellent interpersonal and communication skills with the ability to build strong stakeholder relationships.
• Customer-focused approach with strong attention to detail and service delivery.
• Ability to produce detailed reports, management information, and claims analysis.
• Proficient in Microsoft Office applications, including Word, Excel, and PowerPoint.

Qualifications:

• Insurance qualifications (e.g. ACII or equivalent) in progress preferred.