Updated: Aug 11, 2024 - The Claims Handler liaises with clients, witnesses, insurance companies, and other involved parties to accurately determine the circumstances of accidents and manage financial and cyber claims efficiently from initiation to resolution. Utilizing a bespoke case management system, this position ensures precise data recording, responds professionally to calls, and maintains high levels of customer service while working towards predefined KPIs. Additionally, they play a crucial role in vendor management, and relationship building with key stakeholders like solicitors and IT specialists, and assist in strategic tasks such as underwriting and market analysis to enhance procedural efficiencies.
An Introduction to Professional Skills and Functions for Claims Handler with a Cover Letter
1. Details for Claims Handler Cover Letter
- Responsible for handling and negotiating claims up to a value of £100,000.
- Compliance to statutory regulations.
- Develop and maintain relationships with internal and external customers.
- Handle third-party claims aiming to settle cases within optimum time scales.
- Investigation and evaluation of liability and quantum to achieve the desired resolution for all claims handled.
- Handle calls to the Claims department, making accurate notes of the claim details and progressing the claim appropriately
- Monitor the claim throughout and ensure the customer is always kept up to date through regular contact
- Remain empathetic and understanding with customers who may be in tricky situations
- Inform customers of whether their claim is valid through their policy conditions
- Identify any potential recoveries from third parties
Skills: Claims Handling, Compliance Management, Customer Relationship Management, Third-Party Claims Management, Investigation and Evaluation, Communication Skills, Empathy and Customer Service, Policy Knowledge and Compliance
2. Roles for Claims Handler Cover Letter
- Handling a variety of non-personal injury, motor claims in a cost-effective manner in accordance with the group guidelines, procedures and claims philosophy
- Initiating and co-ordinating investigations into liability and quantum
- Deciding on legal liability and policy liability issues
- Compliance with all regulatory and internal systems and controls
- Identifying cases which may be suitable for the group fraud programmes
- Negotiating with clients, claimants and their representatives
- Reviewing and estimating on current claims files
- Handling litigation cases
- Client liaison in accordance with individual client requirements
- Identifying and implementing process improvements
Skills: Claims Handling, Investigation Coordination, Legal and Policy Decision Making, Fraud Identification, Negotiation Skills, Claims Review and Estimation, Litigation Management, Process Improvement
3. Responsibilities for Claims Handler Cover Letter
- Provide great customer service and help customers throughout their claims journey
- Investigate the circumstances of customer claims
- Communication with customers through various means, written and spoken
- Identify and communicate the correct liability outcomes to customers
- Deal with other in insurance companies
- Cost recovery and negotiation payment plans for recovery
- Ensure the delivery of excellent customer service by providing relevant and accurate information to every customer based on professional expertise and training.
- Use initiative as well as information resources available to provide the best outcome for the customer.
- Answer calls adhering to standard response times whilst ensuring accurate and timely completion of case notes, logs and diaries for each customer.
- Utilise strong attention to detail, remaining calm in the face of challenge to effectively help customers when need us the most.
Skills: Customer Service Excellence, Claims Investigation, Effective Communication, Liability Assessment, Interpersonal Skills, Negotiation Skills, Information Management, Attention to Detail and Calmness Under Pressure
4. Functions for Claims Handler Cover Letter
- Handling a variety of SME and Large Account D&O/FI/PI claims in both a lead and follow capacity from cradle to grave
- Review, analyse and interpret policy wordings
- Attend market meetings to discuss coverage issues, strategy and reserves
- Form and maintain close relationships with TPAs, MGAs and brokers
- Carry out audits on TPAs and MGAs
- Complete monthly reviews and spreadsheets for MI purposes
- Acting as first point of contact for clients
- Investigate the issue with the client, creating a complete and accurate record of events from discussions
- Liaise with insurers and third-party contractors
- Prioritisation of workload to ensure claims are dealt with effectively and risk is managed
- Triage new claims with clients and establish most appropriate plan of action
- Use the company’s management system and update as necessary with any new information
Skills: Claims Management, Policy Interpretation, Stakeholder Relationship Management, Audit and Compliance, Data Analysis and Reporting, Client Communication and Support, Negotiation and Conflict Resolution, Organizational and Prioritization Skills
5. Accountabilities for Claims Handler Cover Letter
- Liaise with client’s and witnesses to establish the accident circumstances
- Communicating with client’s, the responsible party, their insurance, solicitors and various other parties involved in the claims process.
- Utilise case management system.
- Answer calls effectively in a professional manner.
- Ensure claim data is accurately recorded on bespoke case management system.
- Provide high levels of customer service.
- Adopt a pro-active approach to claims handling.
- Work to agree set KPI’s and manage case load efficiently
- Managing own portfolio of Financial lines and Cyber claims from start to finish.
- Use excellent communication skills to build and maintain relationships with Solicitors, IT Specialists, Loss Adjusters and Assessors.
- Determine coverage involving vendor management.
- Update Brokers and Insured's on claims status.
- Assist the Head of Claims with Underwriting presentations, market analysis presentations identify room for improvement for processes.
- Delivering a high standard of customer service and professionalism.
Skills: Effective Communication, Case Management, Customer Service Excellence, Proactive Approach, Relationship Building, Vendor Management, Data Accuracy, Presentation Skills
6. Tasks for Claims Handler Cover Letter
- Liaise with brokers and policyholders in some circumstances this will require attending meetings with brokers and underwriters
- Valuing claims and setting reserves
- Desktop investigation of claims, including social media fraud checks
- Instruct experts as and when needed to support the defence of claims
- Recovery of damages from third party suppliers/their insurers (usually hotels)
- Advising and dealing with third party legal costs, using effective negotiation skills to get the best outcome for clients
- Collating claims data and producing relevant analysis
- Dealing, whilst under supervision, with applications for pre action disclosure
- Dealing with domestic claims against UK based pubs and clubs via the MOJ portal
- Processing claim payments and recoveries in the case management system, ensuring that are requested in a timely manner and with the appropriate details provided
- Conducting routine housekeeping on all files in the case management system and fully participating, as well as supporting other team members with one-off housekeeping requests
- Assisting the Claims Manager and Deputy Claims Manager with claims related projects
Skills: Claims Management, Client Relationship Management, Investigative Skills, Negotiation, Data Analysis, Legal Support, Project Management, System Management
7. Expectations for Claims Handler Cover Letter
- Responsible for advising new customers about the process and guiding them through the onboarding journey for their claim Review and action incoming correspondence from both postal and online sources
- Advise on all relevant and key information about their claim and process including timescales, fees and paperwork required
- Ensure all customer queries are dealt with efficiently and customers have full clarity and understanding
- To update the CRM accurately after every customer interaction
- Dealing with inbound queries from customers, lenders and introducers
- Consistently adhere to company policies and SLAs
- Contribute to team performance targets
- Actively participate in developing the claims value proposition – processes, working procedures, fraud detection rules, litigation prevention and recovery.
- Lead all aspects of the activity of the claims outsourcing company, SLA`s, service quality
- Coordinate the activity of the claims providers (craftsmen networks, repairers, assistance companies, assessment providers, investigators)
- Have ownership of the claims case and handle it/coordinate the case when the outsourcer is involved
- Assure continuous communication with the Service Center Agents who own the customer communication, act as a team in finding the best solution to service the customer and the most cost effective one for the company
- Continuously monitor the claims KPI`s and process quality, along with customer satisfaction
- Analyze the potential of automation in the claims processes and identify areas of improvement
Skills: Customer Service and Communication, CRM Management, Problem Solving and Decision Making, Adherence to Policies and SLAs, Team Collaboration, Process Improvement and Automation, Vendor and Provider Coordination, Leadership and Oversight
8. Competencies for Claims Specialist Cover Letter
- Ensure that all handled programmes are implemented to agreed service standards and corporate guidelines
- Build strong relationships with Clients, their brokers and become the focal and contact point for all service matters relating to their accounts
- Management of claims costs
- Challenge any anomalies including rejecting invalid claims.
- Account handling and supporting Global Client Executive’s and Underwriters on relevant account/activities
- Communicating building relationships with Underwriters, Clients, Brokers and other external parties
- Assist where required with ongoing Projects that are identified throughout a given year for better improvement to the Global Services Department
- Maintain a robust control framework
- Registering new claims through the phone or by email.
- Evaluate and manage the claim through the repair management process.
- Act as the key contact for the client, communicating through the phone and by email.
- Working to identify any potentially fraudulent claims.
- Effectively logging records with clients to ensure compliance.
Skills: Client Relationship Management, Claims Management, Account Handling, Communication Skills, Project Management, Compliance and Control, Problem Solving, Team Collaboration
9. Capabilities for Claims Specialist Cover Letter
- Receiving a claim following initial notification call
- Checking indemnity against policy records to ensure that claim qualifies
- Deployment of repairable vehicles to either approved repair network or engineering network
- Handling of total loss claims including negotiation of value to eventual settlement
- Disposal of vehicle salvage
- Investigation/Negotiation of Theft claims
- Consideration of liability i.e fault or non-fault and subsequent pursuance of outlay recovery
- Review all available information to make an informed decision on liability and indemnity (full training will be given)
- Handle inbound and outbound calls
- Correspond with all relevant parties via telephone, email or letter
- Gain an in-depth knowledge of the Retail and Pet sectors
- Identify any possible fraud concerns
- Provide assistance to team manager in any additional tasks
- Work with and support the team with any initiatives the business is working towards
- Ability to review processes and suggest ideas for continuous improvement
Skills: Claims Processing and Evaluation, Negotiation and Settlement, Logistics and Deployment, Investigation and Fraud Detection, Liability Assessment, Communication Skills, Continuous Improvement, Sector Knowledge
10. Performance Metrics for Claims Specialist Cover Letter
- Provide advice to customer on making a claim and the processes involved.
- Take reports of new insurance claims from customers.
- Proactively manage Policyholder and Third parties’ repairs and hire
- Record accurately the information reported to us concerning the circumstances of the loss.
- Assess liability for an accident and offer advice and guidance to customers giving an objective opinion on prospects and where necessary advise customer regarding where liability will rest.
- Validating cover is in force for a claim and identifying possible fraudulent claim markers to be referred for investigation.
- Instructing suppliers such as Credit Hire and Credit repairer organisations and claimant Personal Injury solicitors.
- Treat customers fairly and ensure that the customer receives world class customer service in accordance with industry and company guidelines.
- Support cost, service and process efficiency projects across the team, as well as having the opportunity to get involved in departmental projects.
- Maintain Stabilis MGA extended underwriting guide
- Respond to Stabilis MGA underwriting referral enquiries from broke
Skills: Customer Service Skills, Claims Management, Liability Assessment, Fraud Detection, Supplier Management, Process Efficiency, Underwriting Knowledge, Project Management
What Are the Qualifications and Requirements for Claims Specialist in a Cover Letter?
1. Knowledge And Abilities for Claims Specialist Cover Letter
- Experience with handling claims from notification through to settlement
- Excellent customer service skills
- Understanding of the insurance claims process
- Experience working to strict FCA guidelines while adhering to SLA Agreements
- Experience in handling professional indemnity claims is desirable
- Experience in finding solutions and help customers through their claims effectively and in a professional manner
- Previous experience in customer service or insurance claims
- Experience of using Microsoft Word, Excel and email
- Good commercial awareness
- Experience with problem-solving and customer complaints
- Knowledge of CRM systems
Qualifications: BA in Risk Management and Insurance with 2 years of Experience
2. Experience and Requirements for Claims Specialist Cover Letter
- Experience analyzing and processesing claims in assigned specialty area by gathering and recording information and needed documentation related to claims and/or losses.
- Ability to apply a culture of quality, service excellence, flexibility and cost consciousness, according to PMPO & First Choice Way philosophy.
- Communicates effectively and maintains professional relationships with colleagues, internal and external customers, external (legal) counsel and management.
- Ensure that databases are maintained with the appropriate claims information/record.
- Ability to recognize and escalate claims where the standard process can negatively impact DPDHL.
- Fluent in English & Danish.
- Knowledge of cargo claims handling and logistics industry such as International conventions, local regulations, Business Partner standard terms and conditions, etc.
- Experience with corporate insurance schemes
- Knowledge of litigation processes and dynamics
- Strong Business Partner & customer service focus.
- Efficient verbal and written communication skills.
- Ability to pay attention to details and ensure accurate data input.
- Ability to work in a team oriented environment.
Qualifications: BA in Business Administration with 5 years of Experience
3. Skills, Knowledge, and Experience for Claims Specialist Cover Letter
- Strong GCSE English & Maths
- Attention to detail and Customer focused
- Written and verbal communication skills at all levels
- Computer literate and flexible approach
- Effective time management
- Experience in a customer service role
- Ability to work on own initiative and to tight timescales when necessary
- Possess excellent communicating skills
- Ability to follow company policy and practices
- Enthusiastic self-starter able to work on own initiative
- Willingness to learn and well organised
- Sales and negotiation experience
Qualifications: BA in Actuarial Science with 2 years of Experience
4. Requirements and Experience for Claims Specialist Cover Letter
- Strong technical understanding of claims handling principles and best practices
- Experience of working in a fast paced professional environment preferred
- Ability to present information effectively
- Ambitious and keen to learn new technologies, tools and systems
- Demonstrable ability to engage and influence internal and external stakeholders across all levels
- Responsible and resilient with a proactive attitude
- Flexible approach to problem-solving
- Keen attention to detail, possessing and maintaining strong organisational skills to meet deadlines
- Ability to work well within a team and to be adaptable to changing work environments and demands
- Proven forward planning skills and ability to take ownership in a multi-task environment.
Qualifications: BA in Finance with 3 years of Experience
5. Education and Experience for Claims Specialist Cover Letter
- Experience in claims processing or claims management within the general insurance industry (construction, property preferred)
- A basic understanding of building methods and materials
- Great maths, basic accounting
- Understanding of relevant legislation and local by-laws
- Knowledge of insurance operational processes, practices and risk management
- Excellent customer service, with strong influencing and negotiations skills
- Demonstrated computer literacy i.e. Microsoft Office Suite, ability to learn new systems
- Excellent communication skills for face-to-face, telephone and written communication
- Ability to meet critical timeframes and deadlines
- Commitment to high standards of integrity and ethics
Qualifications: BA in Legal Studies with 4 years of Experience
6. Professional Background for Claims Specialist Cover Letter
- Knowledge and experience of case management
- Good understanding of claims-handling practice and strategies
- Be IT literate with a good working knowledge of Excel and Word.
- Ability to organize their own time, recognize what is important and when to ask for help.
- Ability to critically look at factual evidence, and identify what is not right/out of the ordinary.
- Ability to know the principle or law but also know when it is worth pursuing it.
- Good oral and written communication skills.
- Ability to take on responsibility and work with minimal supervision
- Enthusiastic and able to work in a fast-paced environment
- Driven to do an excellent job as efficiently as possible
- Positive, can-do attitude and team player
- Professionalism and ability to build trust and rapport with colleagues
Qualifications: BA in Economics with 3 years of Experience
7. Education and Qualifications for Claims Specialist Cover Letter
- Knowledge of the insurance industry
- Be organized, have excellent attention to detail, be a good communicator and be able to work effectively with team
- Able to prioritize workload, develop and maintain relationships and be able to work under pressure
- Be an advanced user on all Microsoft packages
- Good skills in Microsoft Word, Excel and Access Database
- Cert CII/ Dip CII (Chartered Insurance Institute) qualification desirable and educated to GCSE standard
- Experience within the insurance industry and expert claims handling focus.
- Strong customer service drive along with forward planning and analytical skills.
- Strong communications and strong social skills, task-focused
- Ability to meet or exceed performance competencies.
- Strong IT skills (Windows Office tools).
Qualifications: BA in Accounting with 2 years of Experience
8. Knowledge, Skills and Abilities for Account Manager Claims Specialist Cover Letter
- Experience within the Insurance Market or Legal industry.
- Strong customer service skills.
- Good understanding of the MOJ Pre Action Protocol.
- Work for a leading Legal Services business.
- Great salary plus lots of great benefits.
- Clear career progression.
- Experience in the financial services/insurance sector
- Experience in working in insurance claims would be advantageous
- Experience in maintaining and manging own caseload
- Good working knowledge of general insurance contracts including property and motor classes.
- Excellent telephone manner
- Fantastic customer service skills
- Negotiation and complaint resolution
Qualifications: BA in Criminal Justice with 3 years of Experience
9. Accomplishments for Account Manager Claims Specialist Cover Letter
- Excellent communication skills, both orally and in writing, and an understanding of how to provide excellent customer service
- Strong decision-making skills
- Ability to plan and organize
- Customer and target-driven
- Comprehensive understanding of relevant legislative and legal framework
- Hardworking, enthusiastic and motivated
- Ability to adapt to shifting priorities and adapt plans accordingly, consistently producing high-quality work even when under tight timescales
- Organized and efficient, able to work on own initiative and as part of a team
- Ability to deal with difficult or demanding situations and clients
- Good knowledge and confident use of Microsoft office (including Excel, Word, PowerPoint and Outlook)
- Experience of working with a case management system.
- Have LLB Law, GDL, ACII, CILEx or equivalent legal qualifications
- Comprehensive technical claims knowledge and experience
- A good working knowledge of law firm operations and pressures
- Understanding the need for efficient, timely, cost-effective support
- Comprehensive understanding of the relevant legislative and legal framework
- Demonstrable experience in relationship management (internal and external)
Qualifications: BA in Public Administration with 5 years of Experience
10. Key Qualifications for Claims Specialist Cover Letter
- Comfortable working in various digital (new) systems and testing the functionalities.
- Good knowledge of Dutch and English + preferably another European language
- Experience within the insurance industry and expert claims handling focus.
- Strong customer service drive along with good planning and analytical skills.
- Food communication and interpersonal skills and will take initiative when assisting team members.
- Excellent communication and listening skills with attention to detail
- Passionate about delivering excellent customer service
- Ability to impart information and maintain accurate data
- Proven skills in developing and maintaining close working relationships, both internally and externally is essential
- A calm and professional phone manner and the ability to take ownership
Qualifications: BA in Health Administration with 3 years of Experience