196 Claims Hmo Claims Examiner 140 1044 jobs near me

Description

The Pre-Litigated File Handler will run and maintain their own caseload of up to 250 pre-litigated files to conclusion or the point of litigation. These will consist of a mixed caseload between NIHL (Noise Induced Hearing Loss) claims as well as HAVS (Hand Arm Vibration Syndrome) claims.

The successful candidate will undertake a variety of tasks on pre-litigated files to ensure all Client KPI’s and SLA’s are met. This role would be ideal for a candidate who is looking for experience running their own caseload.

Key Responsibilities

• Maintain a caseload of approximately 250 files.
• Completion of Tracker Strategy document.
• Sending out Initial Letters and completing initial file opening procedures upon receipt of new files
• Companies Searches and ELTO Searches.
• Director searches and letters.
• Instructions to investigators.
• Telephone/email chasers to claimant solicitors, insurance companies and brokers for HMRC Schedule, medical evidence, mandates and updates.
• General admin including diarising dates for Protocol expiry
• Escalation of files to Team Leader for review when key milestones triggered
• Updating database on Tracker
• Policy queries to client for insured.
• Requesting documents from Insurer.
• Request and review OH & Personnel records from insured.
• Review medical, engineering evidence and witness evidence.
• File Closure
• Notifying brokers and co-defendants of closure
• General admin- diary dates
• Undertake ad hoc duties to support the team as required
• To ensure compliance with the SRA Standards & Regulations
• Adhere to the Keoghs Value

35 hours per week
Monday – Friday 9am – 5pm with 1 unpaid hour for lunch.
Primary location for this role is Keoghs, Parkland, Bolton.

Skills, Knowledge & Expertise

The successful applicant should have the following skills:
Desirable:

• Awareness and understanding of file handing processes for disease claims.
• Technical knowledge of NIHL &/or HAVS claims.
• Basic understanding of all stages of the pre litigation process for disease claims

Essential:

• Proficient in MS Office (word and excel in particular) and experience of using a Case/Claims Management system.
• Ability to use own initiative, self-organise and self-prioritise
• Good listening and communication skills
• Ability to self-organise and self-prioritise
• Ability to work under pressure and to target
• GCSE grade A-C in English and Math

Job Benefits

• Davies Incentive Plan
• 25 days holiday per year which increases with level of service (opportunity to buy & sell 3 days)
• Simply Health Care Cash Plan
• WeCare – 24/7 online GP, mental health support and virtual wellbeing covering a whole host of topics to do with health, mental health, wellbeing & healthy living and financial & legal wellbeing
• Death In Service – after 1 years’ service
• Pension Contribution based 5% Employee / 3% Employer
• Employee Resource Groups
• Employee Volunteering Programme
• Cycle to Work Scheme*
• Tech Scheme*
• Season Ticket Loan*
• Gym Flex*
• Access to Online Discount Sites
• Discounted Gourmet Society Membership
• Discounted Tickets for Merlin Attractions nationwide
• Discounts at local retail outlets
• after successfully completing probation

About Keoghs

Keoghs is a leading provider of legal and claims solutions to insurers, businesses and other suppliers to the insurance sector. We manage more than £1bn worth of insurer claims and resolve in excess of 100,000 claims per year working in partnership with leading insurers, MGAs, brokers, corporates and the public sector.

With more than 50 years’ experience we have an in-depth understanding of the insurance claims process, enabling us to contain and lower litigation rates, shorten claims lifecycles and reduce overall claims costs. We combine proven processes, technology and low cost infrastructure with extensive legal and insurance market knowledge. This enables us to create individual solutions for each of our clients that match their requirements in terms of quality, performance and value for money.

We invest heavily in specialised services, technology and innovation for our insurance clients, and we are the first to launch a true artificial intelligence (AI) insurance lawyer. Through our proprietary AI lawyer, Lauri, we’ve transformed the claims handling process for low-value personal injury claims; we’ve reduced claim lifecycles and reduced costs for our clients. Supported by commercial acumen and innovative products, Keoghs leads the way in providing legal solutions to the insurance industry.