Senior Claims Adjuster

Since Aspen was founded in 2002, we have become a leading, diversified specialty insurance and reinsurance company. We respond thoughtfully and creatively to find the best outcomes for our clients and business partners through carefully-tailored solutions.

We believe the way we work is just as important as the work we do, and we are guided by our core values of respect, honesty, trust and professionalism.

Aspen is a great place to develop your career offering an exciting and challenging environment where achievement is rewarded.

Role Purpose

To evaluate and process in an accurate and timely manner, claims estimates and paid claims values in accordance with policy terms and conditions to provide the level of service and meet obligations contracted to by the company at all times.

The ideal candidate for the Senior Claims Adjuster role brings extensive knowledge of technical claims handling within the Insurance Industry. 
•    Manage disputed and material claims to resolve and settle economically.
•    Ability to resolve complex claims efficiently, align liability with contractual commitments, identify and pursue subrogation, contribution, and recovery opportunities
•    Good understanding of delegated authority claims management from a technical, commercial, and operational perspective
•    Proficient experience with London market systems and working within natural resources classes of business
•    Proficiency in MS Office applications; Word, Excel, and PowerPoint
•    Ability to manage conflicting priorities to achieve deadlines
•    Strong customer orientation skills
•    Ability to collaborate effectively within a team environment
 

Our Aspen Values are expected to be reflected in the delivery and performance of every role.

Specific accountabilities assigned to the role of Senior Claims Adjuster within the global claims function:

• Management of complex and disputed claims matters, including in-depth claims analysis and trends to provide expert guidance and/or opinion to the Global Portfolio Head and other internal stakeholders, as required.
• Developing good, constructive working relationships with the claims leadership team, wider claims team, market peers and wider Aspen business units
• Engagement and delivery of claims projects, where required.
• Lead continuous improvement initiatives via process and/or technology change – that will enhance quality of communication and collaboration across Aspen.
• Provide mentoring and career development to colleagues to strengthen their capabilities, build functional expertise and foster a collaborative, values-driven team culture of high standards, strong productivity, and innovation.
• Elevate claims talent to develop and share knowledge with the intention of enhancing both technical (e.g. data analysis and critical judgement) and non-technical (relationship management) skills.

Desirable personal attributes aligned to what success looks like in the role:

• Independent challenger - ability to innovate and challenge, utilising consultative questioning, current norms to drive change within the global claims function, and work with people of varying backgrounds and organisational levels
• Knowledgeable practitioner – deals confidently with uncertainty, leans into difficult conversations while lowering the pressure of resistance
• Strong problem-solving skills with the ability to think, influence and act strategically
• Effective communicator – structures insights into clear messages and effectively engages others within group claims function, as well as internal stakeholders, professional and regulatory bodies
• Change agent – leverages a skilful understanding of persuasion and influence, knowing which techniques to deploy while remaining a trusted advisor to Group ExCo and the Board

Key Results Areas

Strategy and Planning

• Contribute to, monitors and advises on the plan developments and changes in order to ensure relevancy, compliance and optimal delivery
• Assist in the preparation and implementation of the operational team plans to ensure these are in line with wider business strategy and reflect key priorities.
• Determine own work priorities and activities in line with agreed plans to ensure the achievement of the function’s objectives.
• Partner with colleagues to perform data analysis work and provide valuable insights that improve claims performance

Policy, Process and Procedures

• Support the implementation of the Claims strategy to enable delivery of overall business targets
• Investigate and resolve complex Claims of a specialist nature in a professional manner in order to provide excellent Claims handling service with minimal leakage
• Proactively manage estimates and billings calculated by clients and brokers resolving any discrepancies in a timely manner
• Identify and investigate coverage issues so as to ensure that the company’s liability is in line with its contractual commitments and to communicate with relevant stakeholders
• Identify subrogation, contribution and other recovery issues and ensure that these are successfully pursued where appropriate
• Manage disputed Claims and other material Claims issues in order to resolve and settle claims on an economic basis
• Ensure Claims files are compiled and maintained in a logical and accessible manner and that coverage and/or other Claims issues are clearly documented at all times
• Ensure awareness of and compliance with regulatory and legislative requirements

Environmental Awareness/Customer Focus

• Support the development of relationships with internal and external customers to enable the Claims function to fully support their needs
• Support the development of relationships with the Underwriters to enable the Claims function to support the needs of other areas within the business
• Ensure that Claims billings and advices are responded to within agreed timeframes to provide a professional service to brokers, and clients
• Ensure that base premiums have been received a before making Claim payments
• Where appropriate, ensure reinstatement premiums have been correctly calculated when making Claim payments
• Respond to internal and external stakeholder requests in accordance with service standards

Technical Performance

• Support the claims management  and claims operations colleagues in the production of Management Information reports
• Produce regular statistical and analytical Claims information to Portfolio and Risk Managers and Senior Management to enable effective monitoring of Claims
• Develop/maintain sufficient knowledge of Claims portfolio, so as to ensure delivery of accurate information to Underwriters and management when requested
• Ensure accurate and timely update of the company’s systems as and when required
• Act as a referral point to other members of the Claims team on specific tasks or in the absence of Assistant Claims Manager or Technical Lead.

Knowledge

• Extensive and relevant knowledge of technical claims handling in a group claims function, operating in a highly regulated environment.
• Strong understanding of delegated and third-party claims management from a technical, commercial, and operational perspective.

Skills

• Strong interpersonal and communication skills.
• Good organisational skills.
• Able to work independently.
• Proficient in MS Office applications; Word, Excel and Powerpoint.
• Able to manage conflicting priorities to achieve deadlines.
• Ability to plan effectively and efficiently.
• Strong customer orientation skills.
• Ability to collaborate effectively within a team environment.
• Strong attention to detail.
• Strong Investigative skills
• Negotiation skills
• Able to produce MI and detailed reports at various levels

Experience

• Experience and a proven track record of working in a Claims environment within a specialized/complex Claims area
• Recognised qualification(s) and/or good practical knowledge of the insurance regulatory framework
• Relevant commercial experience of the general insurance industry and claims trends to be able to provide expert advice and opinion where required.

At Aspen we know that having a diverse and inclusive workforce is good for our people, good for our business and good for the environments in which we operate.  We therefore welcome applications from people which allows us to draw on diverse cultures, perspectives, skills and experiences.