Claims Adjuster - NIHL/Deafness

Birmingham - 2 days in office

Key Responsibilities

• Accurately maintain and update claims files, ensuring all data is recorded in line with best practices and reflecting appropriate technical complexity and exposure.

• Apply sound judgement to verify policies and determine coverage by analysing relevant policy terms and assessing whether losses fall within scope.

• Assess damages by calculating legally recoverable amounts or reasonable ranges in accordance with applicable law.

• Negotiate claim settlements by developing effective negotiation strategies and utilising available tools and authority levels, referring matters when required.

• Deliver high standards of customer service through proactive communication and timely responses in line with service protocols.

• Manage litigation where applicable by instructing approved panel solicitors, establishing litigation plans and budgets, coordinating legal activities, reviewing settlement opportunities, and authorising expenses within authority limits.

• Ensure full legal and regulatory compliance, adhering to relevant laws, regulations, and internal controls.

• Secure contributions and recoveries where appropriate.

• Escalate potential fraud cases to management promptly.

• Support profitable growth by identifying risk insights, trends, and emerging exposures.

• Act as a technical resource by mentoring junior colleagues and sharing subject matter expertise within the relevant line of business.

• Safeguard the organisation's reputation by maintaining confidentiality and treating customers fairly at all times.

• Maintain professional knowledge through continuous learning, industry engagement, and participation in professional networks or societies.

• Contribute to team objectives and participate in projects as required.

• Identify and resolve issues in accordance with established policies, procedures, and standards to ensure consistent and high-quality outcomes.

• Take ownership of personal development and seek opportunities for growth.

• Adopt a proactive approach to claims management, encouraging early resolution to minimise lifecycle duration and associated costs.

• Ensure all valid policy obligations are met, customers are treated fairly, and conduct requirements are fully satisfied.

• Participate in audits, due diligence processes, and policyholder meetings where required.

• Comply with all regulatory and company policies, maintain confidentiality, and represent the company professionally at all times.

Candidate Profile

• Capable of managing a high volume of lower-value claims independently, with moderate supervision.

• Confident in making and supporting coverage and liability decisions using sound judgement.

• Committed to continuous personal development.

• Demonstrates strong alignment with corporate values and teamwork principles.

• Proactive in managing claims to achieve timely and cost-effective resolutions.

Skills

• Ability to recognise when to seek senior input on complex matters.

• Strong written and verbal communication skills, including preparing clear reports for senior management.

• Commitment to ensuring policy obligations are met, customers are treated fairly, and conduct requirements are upheld.

• Awareness of current legal, regulatory, and medical developments impacting claims handling.