3 дня назад
Claims Adjuster Accidents & Health (A&H)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Adjuster Accidents & Health (A&H) (Insurance Claims): Managing intermediate to advanced complex A&H claims with an accent on coverage determination, quantum analysis, legal liability assessment, and customer-focused resolution. Focus on vendor and litigation management, policy interpretation, financial control, and improving claims handling through audits and quality assurance processes.
Location: Madrid, Spain; primarily in the office
Company
is a global provider of commercial and personal insurance solutions and property casualty insurance services.
What you will do
- Manage A&H claims enquiries, determine coverage, analyze quantum, and assess legal liability within authority limits.
- Resolve intermediate to advanced complex claims accurately, promptly, and with a strong customer focus.
- Manage vendors, litigation, and Third Party Administrators, including audits and compliance checks against claims handling guidelines.
- Communicate complex claims and portfolio developments to internal and external stakeholders.
- Maintain best-practice procedures and contribute to continuous improvement through quality assurance reviews and audit recommendations.
- Support financial control through consistent reserving, transaction discipline, and mitigation of indemnity and legal expenses.
Requirements
- Strong specialist experience and knowledge in Accidents & Health technical claims.
- Fluent English and the ability to interpret policy wording accurately and consistently.
- Basic knowledge of legal, regulatory, litigation, and procedural requirements relevant to the line of business.
- Experience following up on technical claims audit recommendations and improving claim handling.
- Strong attention to detail, communication, time management, prioritization, and diary management skills.
- Ability to work effectively in a team and direct claims strategy with relevant stakeholders; a law degree is preferred.
Culture & Benefits
- In-person collaboration with team members primarily working from the office.
- Comprehensive benefits focused on health, wellbeing, financial security, and professional development.
- Continuous learning and development opportunities.
- Inclusive workplace supported by cultural awareness activities and Employee Resource Groups.
- Reasonable accommodations are available for applicants and employees with disabilities.
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