Experience

Service Underwriting Agency Limited

• Insurance
• 1 - 100 Employee

• Senior Claims Validation Case Handler

  • Apr 2014 - Present

  I am currently employed as the senior validations case handler for an insurance and policy underwriting company based in Brighton. I am currently responsible for handling a large case load of low to high value motor claims and overseeing the validation process and handling strategy within in a team of case handlers. Mt responsibilities include: • Acting as the main referral source for suspected fraudulent cases • Preparing and setting in place handling strategies for well-known MO’s within claim fraud and ‘Know your opponent’ needs • Handling a caseload of files to repudiation, litigation or settlement • Handling a number of in house operations • To act as the sole IFED SPOC as well as maintaining my role as Advanced IFB SPOC • Assessing all aspects of personal injury, including review, assessment and validation of medical reports • A good working knowledge of the civil procedure rules including claims dealt with under the MOJ portal. • Negotiating liability and quantum with third party insurers and solicitors • Instructing solicitors to deal with litigation • Assisting in the recording of team savings and fraud targets • Understanding and applying relevant case law to achieve a commercial and favourable outcome • Understanding and applying Indemnity and underwriting principles • Accurately calculating reserves for all elements of the claims process • Competent use of search facilities such as: Cache, CUE PI, MIAFTR, Companies House to obtain information and analyse the same. • Running intel searches and competent use of such facilities a Credit Safe, GB Web Portal and consented date via Social Networking Show less



Addison Lee

• United Kingdom
• Transportation, Logistics, Supply Chain and Storage
• 400 - 500 Employee

• Claims Validation/Case Handler

  • Apr 2013 - Apr 2014

  • Assessing liability from an RTA standpoint using initiative, Highway code and relevant case law • Dealing with Passengers and High Account customers to ensure customer services requirements are met in order to retain clients • Assessing all fraud indicators to ensure Losses are mitigated where possible. I.e.: credit card fraud, PI Claims and other damages. • Making decisions towards whether cases require litigation and dealing with solicitors on Non-Delegated authority. • Dealing directly with solicitors and seeking advice from counsel in all ligated cases • Inspecting vehicles for damage and consistency to adhere to potential fraud requirements • Dealing with legal costs payments, invoicing and cheque remittance • Using diary systems to ensure all FSA and customer service requirements are met accordingly • Managing a team and delegation in the absence of the general manager Show less



Aviva

• United Kingdom
• Financial Services
• 700 & Above Employee

• Fraud Co-ordinator/PI Case Handler

  • Sep 2011 - Apr 2013

  • Managing a caseload of approx. 350 files to repudiation or settlement • A good working knowledge of the civil procedure rules including claims dealt with under the MOJ portal. • Negotiating liability and quantum with third party insurers and solicitors • Instructing solicitors to deal with litigation • Achieving both a personal and team savings and fraud target • Valuing medical reports using JSB guidelines, Kemp & Kemp and Colossus • Understanding and applying relevant case law to achieve a commercial and favourable outcome • Understanding and applying Indemnity and underwriting principles • Identifying and repudiating fraudulent claims • Accurately calculating reserves for all elements of the claims process • Competent use of search facilities such as: Cache, CUE PI, MIAFTR, Companies House to obtain information and analyse the same. Show less



NFU Mutual

• United Kingdom
• Insurance
• 700 & Above Employee

• FNOL/Third Party claims Advisor

  • Aug 2010 - Sep 2011

  I began this position in the role of claims advisor dealing with First notification of loss, accepting new claims and dealing with issues with existing claims for NFUM Policy holders. Duties included: • Registering details of first notification of loss • Determining the outcome of the claims RE: Liability • Arranging Repairs and converting in Network approved repairers • Arranging Hire vehicles where needed • Liaising with customer to provide solutions to problems After approximately three months in this position I was selected from a very large FNOL department of long-term employees to join the Third party pro-active team, which entailed a higher degree of responsibility including the general handling of Third party claims from start to finish. Responsibilities included: • Generating leads and converting third parties as to hit financial and non-financial targets • Handling all arrangements between businesses, including repairs and hire vehicles where needed • Dealing with the fast resolution of any issues that may arise within third party claims • Using a high level of customer service to adhere to a Non-Complaints target • Meeting company quality and compliance levels to offer services in a professional manner Show less