Casualty Fraud Litigated Claims Handler

About this role

*Department:*Claims Management

*Location:*Bolton

Description

The File Handler will manage a caseload of suspected fraudulent EL/PL cases on behalf of a number of insurance clients. The role requires a forensic and analytical approach to employer and public liability issues together with experience and/or appreciation of the documents and evidence required in these types of cases. The majority of the cases will be Fast-Track with the potential to handle Multi Track/Intermediate Track cases up to £100K, cases are generally handled on a non-delegated authority basis.

Key Responsibilities

• Considering concepts and merits of primary and secondary liability in employer and public liability claims.
• Handling matters in accordance with client SLA’s.
• Initial report/review and setting strategy for the management of the claim.
• Reviewing evidence (eg. Witness statements, GP records, Occupational Health/ Personnel records, property inspection reports).
• Dealing with Disclosure.
• Conducting investigations.
• Conducting CMC’s and applications.
• Review and report re exchange of evidence, receipt of medical evidence, joints statements or at any other stage.
• Instructing Counsel/investigators/medical and other experts.
• Drafting questions to medical experts
• Costs Schedules.
• Dealing with routine correspondence & reviewing matters throughout.
• Drafting in general.
• Research.
• Counter Schedule.
• Pre-Trial reports.
• Attending Conferences and Trial with Counsel.
• Preparing/checking Trial Bundles.
• CRU appeal.
• To ensure compliance with the SRA Standards & Regulations.

Skills, Knowledge and Expertise

• Experience of handling a caseload of EL/PL files essential.
• Previous litigation experience.
• Meeting targets.
• Positive, confident and enthusiastic.
• Good advocacy skills.
• Excellent listening, verbal and written communication skillsGood client care skills and evidence of working to client guidelines on a non-delegated basis
• Ability to prioritise work, keep to deadlines and work under pressure
• High level of analytical skills.
• Ability to make decisions and delegate effectively.
• Ability to anticipate problems and identify solutions.
• Ability to maintain concentration and pay attention to detail.
• Driven to achieve.
• Excellent IT Skills.
• Ability to work within the Keoghs Shared Values framework.
• The ability to demonstrate resilience and self-control.

Values

Our culture is focussed on making Keoghs sustainable and successful for our people and clients, with this our five values are at the heart of everything we do;

We are connected

We are innovative

We are dynamic

We succeed together

Benefits

• Davies Incentive Plan
• 25 days holiday per year which increases with level of service (opportunity to buy & sell 3 days)
• Family Cover Private Medical Insurance (Bupa)
• Simply Health Care Cash Plan
• WeCare – 24/7 online GP, mental health support and virtual wellbeing covering a whole host of topics to do with health, mental health, wellbeing & healthy living and financial & legal wellbeing
• Death in Service
• Critical Illness Cover
• PHI/Income Protection (Private health insurance)
• Pension Contribution based 5% Employee / 3% Employer
• Employee Resource Groups
• Employee Volunteering Programme
• Cycle to Work Scheme*
• Tech Scheme*
• Season Ticket Loan*
• Gym Flex*
• Access to Online Discount Sites
• Discounted Gourmet Society Membership
• Discounted Tickets for Merlin Attractions nationwide
• Discounts at local retail outlets
• after successfully completing probation

About fraud prevention roles for ex-police

Fraud investigation, detection and financial-crime roles in banks, insurers and public bodies. Detective and economic-crime backgrounds map straight across, often with hybrid working and clear progression.