Senior Claims Adjuster - Casualty

Description

As a Senior Casualty Claims Adjuster, you will be responsible for the end-to-end management of a portfolio of Casualty claims across both delegated authority arrangements and in-house wholesale business. The role encompasses a broad range of casualty classes, including Public Liability, Products Liability, Employers' Liability and other general liability exposures, with a focus on complex, large loss and litigated matters. You may be required to support the team more broadly across third-party claims and exposure to Financial Lines claims handling would be advantageous.

You will operate as a senior technical expert within the Claims team, delivering fair, timely and commercially sound claims outcomes while ensuring compliance with policy intent, regulatory obligations and internal governance requirements. The role requires strong technical capability in coverage analysis, reserving, settlement negotiation and litigation management, together with oversight of Delegated Claims Authorities (DCAs), Third Party Administrators (TPAs) and external service providers.

Working closely with underwriting, actuarial, reinsurance, brokers and legal partners, you will contribute to underwriting performance, portfolio insights and proactive claims management strategies while supporting strong stakeholder relationships across the market.

Key Responsibilities

• Manage a portfolio of Casualty claims from notification through to resolution, including complex, litigated and large loss matters. This may include other third-party claims such as financial lines from time to time.
• Develop and implement effective claim strategies, including liability assessment, indemnity evaluation, quantum analysis and resolution pathways.
• Interpret and apply policy coverage across casualty products, providing clear and commercially balanced coverage decisions.
• Ensure accurate and timely reserving in accordance with internal reserving philosophy and financial reporting requirements.
• Manage claims involving multiple insurers, reinsurers and co-insurance arrangements where applicable.
• Oversee and manage delegated authority claims portfolios, ensuring compliance with delegated authority agreements, service standards and governance frameworks.
• Undertake technical reviews and audits of TPAs, DCAs and delegated claims partners to monitor performance and identify areas for improvement.
• Act as a referral point for complex casualty claims, providing technical guidance on coverage, strategy, litigation and reserving.
• Manage external service providers including legal counsel, loss adjusters, investigators, forensic accountants and other consultants.
• Direct litigation strategy and settlement negotiations to achieve commercially sound outcomes.
• Identify and pursue recovery opportunities including contribution, indemnity and subrogation actions where appropriate.
• Prepare large loss notifications and management reports for senior stakeholders.
• Analyse claims trends and loss experience to provide meaningful insights to underwriting and portfolio management teams.
• Collaborate with underwriting on policy wording development, emerging risks and portfolio performance.
• Maintain strong relationships with brokers, insureds and key market stakeholders.
• Contribute to business development, broker engagement and retention initiatives by demonstrating claims capability and market leadership.
• Mentor junior claims professionals and contribute to capability development within the claims function.
• Ensure compliance with all regulatory, legal and internal policy requirements.
• Participate in catastrophe and major event response activities as required.
• Support continuous improvement initiatives across claims processes, governance and technology platforms.

Skills & Qualifications

• Claims Evaluation
• Claims Negotiation
• Claims Strategy
• Communication
• Escalation Management
• Local Market / Policy Knowledge
• Portfolio Management
• Project/Programme Management
• Third-Party Management
• TPA / DCA Management
• Significant experience (typically 7+ years) in Casualty (and more broadly third-party) claims handling within the London Market, Lloyd's, company market or international insurance environment.
• Strong technical expertise across casualty classes including Public Liability, Products Liability and Employers' Liability. Familiarity with Financial Lines products would be an advantage,
• Demonstrated experience managing complex, high-value and litigated casualty claims.
• Experience handling claims written on both delegated authority and open market/wholesale business.
• Strong understanding of casualty policy wordings, coverage interpretation and legal liability principles.
• Experience managing Delegated Claims Authorities, TPAs and external claims service providers.
• Proven ability to conduct claims audits and governance reviews of delegated authority arrangements.
• Strong understanding of reserving practices and claims financial management.
• Experience directing external legal counsel and managing litigation strategy.
• Strong commercial acumen with the ability to balance customer outcomes, underwriting objectives and financial performance.
• Experience working with multinational programmes and cross-border liability claims is desirable.
• Sound understanding of Australian regulatory requirements and claims handling obligations.
• Excellent negotiation, communication and stakeholder management skills.
• Strong analytical skills with the ability to identify loss trends and emerging risks.
• Demonstrated ability to influence internal and external stakeholders at all levels.
• Tertiary qualifications in Law, Insurance, or a related discipline are desirable.
• ANZIIF qualifications or equivalent professional insurance qualifications would be advantageous.
• Ability to work independently while effectively managing competing priorities within a dynamic environment

Further Relevant Skills and Experience