Senior Claims Advisor
4 days ago
We are currently seeking a full time Senior Claims Advisor with a strong financial lines background to join the New Zealand Claims Team. This role is ideally based in Auckland. The role will involve interstate travel where required by client and business needs.
As a Senior Claims Advisor, you will be responsible for claims advocacy for local and national financial lines clients through the provision of technical advice and support throughout the claims process and, where necessary, commercial settlement negotiations directly with the carrier(s) on risk and creative problem solving. You will act as an advocate for all Financial Lines claims classes including professional indemnity, cyber liability, crime, management liability, directors’ and officers’, employment practices liability, medical malpractice and statutory liability.
**The Role**:
- Handling a varied portfolio of allocated claims, including major and complex property, casualty, financial lines and professional risk claims
- Proactive claims advocacy, including presentation of claims and circumstances to carriers
- Providing advice, reporting and support to clients in the negotiation and settlement of a loss
- Working with and guiding client advocate brokers to explain and manage clients’ expectations of claims experiences
- Meet with clients and prospective clients and demonstrate claims management expertise
- Negotiate for clients with insurers and/or insurer-appointed representatives such as panel lawyers
- Engage with all relevant parties to resolve coverage disputes through in-depth policy knowledge, current case law and industry practices and trends
- Providing claims advice for specific financial lines clients and internal stakeholders in relation to reporting and monitoring of claims activity, claim reviews, legacy claims audit/review and advice on industry claims experience
- Provide claims specific inputs to client tender processes, working with the client advocate and meeting with prospective clients as required
- Provide technical expertise and mentoring to assist development of Claims Advisors and associates
- General administration as required and proper use of WTW system and operating procedures
The above list is intended to be as accurate a reflection of the role as possible. However, it may be revised from time to time if different tasks commensurate with the role or level of responsibility are needed to be performed and/or when circumstances change
**The Requirements**:
- Law Degree or equivalent formal qualification highly regarded, but not a prerequisite
- Certificate in general insurance and Diploma qualification (or equivalent experience) highly regarded but not a prerequisite.
- You will have already obtained or be prepared to work at obtaining your Level 5 RFA qualification.
- Holder of all regulatory licenses, permissions and technical or other requirements applicable under local legislation
- Commercial litigation/legal practice or extensive exposure to and understanding of the same
- Claims management and all aspects of the end-to-end claims process,
- Highly organised with strong attention to detail
- Drafting, proof-reading and producing high quality claim submissions and advice
- Proven ability to build strong relationships with clients, brokers and insurers and to effectively manage multiple stakeholders
- Delivering superior client service by being responsive and available to meet clients’ demands and timelines
- Excellent influencing, negotiation, presentation and communication skills
- Strong analytical skills, including the ability to analyse claim documents and policy wordings, discern and provide advice on claims management and advocacy
- Comprehensive understanding of financial lines and other wordings, and related coverage issues
- The ability to effectively present to clients and prospective clients your claims expertise
- Demonstrated success in claims negotiation and resolution processes
- Ability to work autonomously as well as a demonstrated team approach
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