Claims Handler
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Role Summary and Purpose
The Claims Handler, Accident & Health is responsible for managing volume claims across the Accident and Health portfolio.
The Claims Handler, Accident & Health works closely with rest of the First Party claims team and reports to the First Party Claims Manager
Key Tasks and Responsibilities
Manage accident and health claims within specified financial authority limits from notification to resolution. This includes Personal Accident and Sickness, Travel, Expatriate and Inpatriate medical expenses, Journey and Voluntary Workers claims.
Engage and provide instructions to relevant medical experts as required including “Arch Assist” (Emergency Medical and Travel Assistance provider)
Thoroughly investigate and assess claims to ensure appropriate strategies are implemented and pursued.
Apply legal principles relevant to both coverage and liability considerations to all A&H claims
Ensure claims are handled in accordance with internal procedures and regulatory requirements (including Lloyd’s) and that reserves are entered in accordance with the company’s stated reserving philosophy.
Develop and maintain positive working relationships with internal and external stakeholders
Provide product wording recommendations as appropriate with the support of the Senior Claims Handler and FP Claims Manager.
Provide support and operational assistance to the wider claims team including claims payments, reconciliations, claims histories and file audits.
Suggest and recommend process improvement initiatives.
Collaborate effectively with other business units.
Adhere to company policies, procedures and local guidance as well as to the legislation..
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16200 Arch Underwriting at Lloyd's (Australia) Pty Ltd