TPA Claims Handler
Posted 2025-03-14About the position
The Senior Claims Handler at McLarens Global is a pivotal role responsible for the technical oversight of claims across various lines of business, including Auto, Liability, and Property. This position requires extensive claims and legal knowledge, ensuring optimal handling of all claims through to completion of sound settlements in line with company targets, policies, and procedures. The Senior Claims Handler will assist in implementing the company's business plan while providing technical oversight of third parties and managing delegated authority referrals. In this role, the Senior Claims Handler will provide advice and guidance to colleagues on cases referred from the claims team, in addition to managing their own personal caseload. Mentorship is a key component, as the Senior Claims Handler will lead a team of claims handlers responsible for investigating and settling claims. They will review and authorize payments above the delegated authority limits of claims handlers, ensuring leadership, cost control, and technical claims management across all lines of business. The Senior Claims Handler will create and maintain a Large Loss Claim Register, providing a consolidated view of all open large losses, including summaries of each claim event, circumstances, reserves, current positions, next steps, and recommendations to management. They will lead daily large loss meetings to discuss new and ongoing claims, determining the most appropriate claim pathways and engaging specialist suppliers to effectively manage claims costs. Additionally, this role involves ensuring adequate reserving and accuracy of claim payments through appropriate supervision and authority levels. The Senior Claims Handler will work closely with the TPA Claims Manager to proactively manage large loss claim workflows and telephony, ensuring adherence to internal and supplier SLAs. Compliance with FCA rules and guidance is essential, as is maintaining effective communication with customers, third parties, and other associates to ensure fair settlements and excellent customer service. The Senior Claims Handler may also be called upon to act as a witness in litigation filed for or against the company.
Responsibilities
? Provides technical oversight and expertise of claims across various lines of business including Auto, Liability and Property.
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? Provides advice and guidance to colleagues across the organization on cases referred from the claims team in addition to handling personal case load.
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? Mentors a team of claims handlers responsible for investigating and settling claims.
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? Reviews and authorizes payments above claims handlers' delegated authority limits.
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? Provides leadership, cost control, and technical claims management across all lines of business ensuring that all potential large loss claims are identified quickly.
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? Creates, maintains, and distributes a Large Loss Claim Register providing a consolidated view of all open large losses, including a summary of each claim event, circumstance, reserve, ?current position', next-steps, and recommendations to management.
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? Leads and participates in a daily ?large loss meeting', providing a forum for all new and ongoing large losses to be discussed and the most appropriate claim pathway debated and agreed upon, including which specialist suppliers to engage to help contain claims costs most effectively.
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? Responsible for ensuring adequate reserving and accuracy of claim payments through appropriate supervision and authority levels.
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? Works in partnership with the TPA Claims Manager to ensure that all large loss claim workflows and telephony are proactively managed and that all internal and supplier SLAs are adhered to.
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? Works with the Claims Team Manager to ensure appropriate staffing levels.
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? Maintains compliance with all relevant FCA rules and guidance ensuring that all staff are aware of their regulatory responsibilities and adhere to all relevant requirements detailed in the Compliance Manual and to the overarching principle of treating customers fairly.
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? Liaises with customers and third parties, repairers, and other associates advising them on any issues that arise.
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? Builds effective working relationships with risk analysts, brokers, underwriters, and other relevant parties.
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? Ensures a fair settlement and good customer service for the client.
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? May be called upon to act as a witness in litigation filed for or against the company.
Requirements
? 5-7 years multi-line claims handling experience.
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? Current Adjusters License required, and multi-state licensing preferred.
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? Experience dealing with mixed value claims including maximum severity of injury and other complex claims with difficult legal issues.
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? Experience working alongside loss adjusters to determine levels of damage caused.
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? Possess a high level of legal knowledge as well as excellent analytical, communication, and active listening skills.
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? Ability to multi-task, set priorities, and manage time effectively.
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? Knowledge of Microsoft Office i.e. Word, Outlook, Excel.
Nice-to-haves
Benefits
? Health Insurance - Medical, Dental, Vision, Life, and Disability Insurance
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? Health Saving/Flexible Spending - access to flexible spending and health savings accounts
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? Retirement - 401(k) program with company match
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? Pet Benefits - ensuring the well-being of your extended family
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? Identity Theft Insurance - offering security and peace of mind
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? Wellness Programs - supports financial, physical, and mental well-being
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? Career Development - fostering growth and advancement in the workplace
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? Community Day of Service/Float Holiday - our Day of Service promotes community involvement, and our personal float holiday can be used as desired
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? Employee Discount Program - offers exclusive discounts and deals on a wide range of products and services
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? Employee Assistance Program - designed to provide life balance support and counseling
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