Claims Handler Job Description

Claims Handler Job Description

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Claims handler provides reports to excess insurance carriers as necessary on assigned claims in order to meet contractual reporting obligations under our insurance policies.

Claims Handler Duties & Responsibilities

To write an effective claims handler job description, begin by listing detailed duties, responsibilities and expectations. We have included claims handler job description templates that you can modify and use.

Sample responsibilities for this position include:

Engage in legal discussions about the recovery of money from the party responsible for the loss seeking indemnity from third parties where necessary
Delivering excellent standards of customer service through high quality and efficient handling of policyholders claims
Registration, assessment and settlement of Pet and Horse and Rider Insurance Claims
Making prompt and timely decisions on policy cover and settlement cost
Weigh up all relevant evidence in line with current guidance and procedures to agree to best outcome
Produce a reasoned report detailing your investigations and conclusions in line with authorisation levels achieved using relevant software to provide a full audit trail for the client and the industry regulator
Acquire information as necessary to perform accurate redress calculations
Achieve set targets in line with required quality standards
Establish and maintain effective business partner relationships with DHL division Business Partners (BPs), external customers, accounting, legal departments and other key stakeholders
Has the authority to formulate, affect, interpret, or implement polices pertaining to strategic claim resolution

Claims Handler Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Claims Handler

List any licenses or certifications required by the position: XOL, FMR

Education for Claims Handler

Typically a job would require a certain level of education.

Employers hiring for the claims handler job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and University Degree in Law, Education, Legal, Computer, Economics, Business, Technical, Leadership, Associates, Communication

Skills for Claims Handler

Desired skills for claims handler include:

Insurance principles
Fraud and investigation
Process improvements
Claims agreements
Products and services
Reinsurance policies pertinent to your business unit
CPR
Pre Action Protocols
Insurance principles & practice
Regulatory Compliance

Desired experience for claims handler includes:

Handle customer complaints in line with our internal complaints procedure
Liaising with others to obtain and deliver information that is crucial to service and control of claims costs
Accuracy in all activities
Ensuring compliance with key legislative and regulatory requirements in the handling of pet claims
Willingness to work towards professional insurance qualification
Ability to organise, plan, prioritise and schedule work to ensure personal and team efficiency

Claims Handler Examples

1

Claims Handler Job Description

Job Description Example
Our growing company is looking to fill the role of claims handler. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for claims handler
  • Read, interpret and provide guidance with customer contracts in regards to claim language, acting as the subject matter expert for our BPs
  • Produces and analyzes Workers Compensation claim trending reporting, which will then be shared with management and used as consultative or expert advice on projects or to develop long term or short term business strategies
  • Work with field staff to collect missing data initiate and monitor light duty assignment
  • Maintenance and completion of SOH stats for entry into BLS surveys, compliance and prequalification inquiries and web based software OSHA reporting
  • Manage a portfolio of medium complexity claims, setting an appropriately high standard for others to follow in the management of all aspects of the claim
  • Assist in the identification and management of underperformance within the team in an effective and efficient manner
  • Participate and adhere to the Quality program requirements for the team and ensure adherence to regulatory and compliance related activities
  • Support and enhance our ‘Coaching Culture’ and challenge the ‘Status Quo’ through our culture of continuous process improvement across the Business
  • Manage relationships with key internal and external stakeholders
  • Support and manage projects as required by the business
Qualifications for claims handler
  • Delivery of excellent standards of customer service through high quality and efficient handling of claims
  • Registration, assessment and settlement of Claims
  • Making prompt and timely decisions on policy cover and settlement costs
  • Handle customer queries in a professional and efficient manner
  • Establish and maintain a positive and professional relationship with external veterinary professionals
  • Making prompt and timely decisions
2

Claims Handler Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of claims handler. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for claims handler
  • Contribute to the development and maintenance of best practice procedures for Bodily Injury Claims, consistent with global best practice
  • Prepare court paperwork
  • Compose responses to various legal and non-legal arguments
  • Brief external third parties
  • Contact County Courty as and when required
  • Engage in mediation processes
  • Deal with court paperwork, such as witness statements
  • Ensuring we are treating customers fairly and acting in a professional manner at all times
  • Manage the Third Party damage repair process from instruction of repairer through to completion of repairs
  • Ensure the early identification of total loss process is adhered to in order to reduce the claim cost, lifecyle and to mitigate hire
Qualifications for claims handler
  • Work or educational experience in a numeric field
  • Numeracy and computer literacy
  • High attention to detail and ability to capture accurate and relevant information
  • Experience of handling a caseload of Technical Claims, including
  • Tackle insurance travel claims across many of our brands
  • Take a methodical approach to each claim and work through it with each customer
3

Claims Handler Job Description

Job Description Example
Our innovative and growing company is hiring for a claims handler. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for claims handler
  • Arrange / Instruct Hire if required/applicable and proactively monitor throughout the lifecycle of the claim
  • Negotiate settlement for any all TP claims related costs (with the exclusion of PI) this will include Personal Effects, TPPD, LOU, LOE
  • When required review and record claims on CARAT within product standards, check policy coverage and allocate appropriate codes and reserves
  • Ensure all client specific questions are asked and data obtained
  • Adhere to 100% accuracy in respect of data entry quality
  • Set clear expectations and next steps to the client
  • Recognise and proactively pursue recovery opportunities at earliest point
  • Work closely with those around you and offer support and guidance to ensure all claims run smoothly in a proactive manor
  • Manage the own damage or TP repair process from instruction of repairer through to completion of repairs
  • Sell the benefits of our approved repairer network to ensure Own Damage and Third Party damage is managed by us
Qualifications for claims handler
  • Claims initiation/investigation and claims negotiation/settlement experience
  • Successful applicants will also possess excellent customer service
  • Experience of Commercial liability claims for both injury and property damage claims would be desirable
  • Communicative and flexible
  • Accurate in your work
  • Additional verbal and/or written knowledge in another Nordic language would be a valuable asset
4

Claims Handler Job Description

Job Description Example
Our company is growing rapidly and is looking for a claims handler. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for claims handler
  • Ensure you build rapport and show empathy with each caller where appropriate to assist in the capture process
  • Ensure indemnity / Validation concerns are addressed in line with the clients process
  • Arrange / Instruct Hire if required/applicable
  • Ensure clear and concise communication at all times
  • Know the importance of setting realistic expectations
  • Work closely with those around you and offer support and guidance to ensure all claims run smoothly in a proactive manner
  • Processing new and continuing Claims and dealing with all correspondence
  • Answering all calls promptly in an enthusiastic, courteous and efficient manner
  • Identifying and responding to the needs of customers, resolving queries where possible or passing effectively to Veterinary Technical Advisor's or the Management team
  • Applying detailed, up-to-date knowledge of products and procedures
Qualifications for claims handler
  • To monitor the status of claims and claim types to ensure risk management and loss control issues are addressed, including public relations matters, newly developing claim trends and poor/ late methods of accident reporting
  • The jobholder will be in frequent contact with claimants, sometimes in confrontational situations
  • The ability to establish rapport and credibility with customers, stores, and peers
  • Knowledge of computer and phone systems
  • Flexibility to work afternoon - evening schedule
  • Ensure that we are treating customers fairly and act in a professional manner at all times
5

Claims Handler Job Description

Job Description Example
Our innovative and growing company is looking for a claims handler. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for claims handler
  • Liaising with all relevant parties to investigate complaints and ensure an appropriate straightforward response is provided to the client
  • Liaising with various stakeholders to capture all relevant information to make an informed and responsible decision on complaints
  • Keep claimants and other stakeholders updated on the progress of complaints setting and managing their expectations
  • Providing high quality professional and straightforward written responses to complaints
  • Assisting in the preparation of Ombudsman review files
  • Contributing to team meetings and discussions, proactively seeking to improve internal processes and knowledge
  • Helping to identify key trends and root cause` in complaints and assisting with feedback to the field
  • Providing a high level of customer service that aligns with the company`s core values
  • Identify, own and manage the risks involved in running our business appropriate to my role, in line with the DLG risk framework
  • Develop self in order to maximise personal contribution to your role and to understand how it fits into the wider Claims operating model
Qualifications for claims handler
  • Knowledge of JC Guidelines for the assessment of general damages in personal injury cases and understanding and ability to research different resources e.g Lawtel
  • Understanding issues and finding solutions with the ability to think out of the box
  • Professional manner, enthusiastic and trustworthy
  • Experience of managing own caseload of claims from Claims initiation & investigation through to claims negotiation & settlement
  • The ability to work in a pressurised environment and meet tight deadlines
  • The desire to build strong and effective relationships with direct customers/brokers and stakeholders

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