Claims Handler

Location: London, hybrid
Salary: Competitive + Benefits
Role type: Permanent
Hours: 35 hours

PURPOSE OF THE JOB

To provide a claims handling service to MDU & DDU members who are the subject of a clinical negligence claim.

KEY ACTIVITIES/ACCOUNTABILITIES

• Responsible for handling own caseload within defined limits of authority & strictly in accordance with Claims Handling Protocol.
• Provide support for other members of the claims handling team & contribute to a positive team culture.
• Work at all times with full knowledge of, & in accordance with, the CHU Protocol and the regulatory framework e.g. the Financial Services Act & the Data Protection Act.
• Provide assistance & guidance to members during the claims handling process.
• Develop & maintain a good working knowledge of current technical & legal developments relevant to the work of the Claims Handling department.
• Participate in educational activities within MDUSL & keep a record of training/educational activities.
• Any other duties for MDUSL that are within the post holder’s capabilities.

QUALIFICATIONS & EXPERIENCE

• Basic knowledge of the Civil Procedure Rules
• Ability to absorb and understand clinical aspects of medicine & dentistry to a level that can be applied to claims handling
• Experience in the use of Microsoft Office
• Experience of MDU systems, in particular Profile & COMPASS

JOB RELATED COMPETENCIES – knowledge, skills and attitude (personal, managerial and technical)

Personal/General

• Good oral & written communication
• Able to adapt & work under pressure, prioritising as necessary
• Supportive of other team members
• Able to absorb and retain a variety of information with the aim of increasing knowledge & developing self in claims handling role
• Demonstrates high standards of customer service

Technical

• Basic understanding of Civil Procedure Rules
• Knowledge of/interest in clinical aspects of medicine & dentistry
• Adherence to the MDU Claims Handling Protocol
• Knowledge of in-house IT systems, particularly COMPASS & Profile
• Experience in the use of Microsoft Office

KEY OUTPUTS/PERFORMANCE MEASURES

• Actively managing claims & maintaining case files in good order.
• Ensuring case files are adequately reserved & reviewed in accordance with Claims Handling Protocol.
• Compliance with Complaints Procedure.
• Determination of policy coverage & adherence to protocol for referring coverage issues.
• Control & minimise indemnity payments & defence costs.

JOB CONTEXT

This position requires the post holder to manage a portfolio of low value claims, using entry level technical skills to achieve the optimum result on each case. Adherence to legislative requirements & service standards is essential. The post holder must be flexible, self-motivated & able to work as part of a team.