Summary
Overview
Work history
Education
Skills
Timeline
Generic
Samantha Gilbey (Cert CII)

Samantha Gilbey (Cert CII)

Ipswich,Suffolk

Summary

Accomplished professional with expertise in technical claims analysis, adept at interpreting complex reinsurance contracts and applying policy wordings with precision. Demonstrates strong analytical and problem-solving skills, consistently making sound, evidence-based decisions on intricate claims. Known for exceptional attention to detail, ensuring accuracy in claim documentation review. Builds robust relationships with brokers, reinsurers, and internal teams through effective stakeholder communication. Excels in organisation and workload management, prioritising multiple claims while maintaining high service standards in fast-paced environments.

Overview

19
19
years of professional experience
5
5
years of post-secondary education

Work history

Technical Claims Adjuster

AXA Liabilities Managers
2018.08 - Current
  • Handling both direct and reinsurance claims from start to finish across a range of classes of business including Direct APH, with a focus on casualty excess of loss reinsurance.
  • Undertaking investigations into complex company history to determine validity of contract and claim.
  • Working knowledge of policy wordings in common use in the reinsurance and insurance market.
  • Calculate and update accurate reserves.
  • Use of ECF2, CLASS and LMCS systems.
  • Authority limit of 2 million USD/GBP/EUR.
  • Negotiating settlement of claim including attending joint settlement meetings.
  • Account and portfolio management including;

* Quarterly reporting both internally and to Board of Directors where required.

* Identifying areas of deterioration and improvement and targets for focus for the year.

* Identifying audit targets and undertaking audits on cedants.

* Liaising with actuaries to determine appropriate IBNR

  • Supporting junior members of both the team and other teams.
  • Attend market meetings as representative of AXA LM including London Market meetings (LMCS).
  • Assist Project Manager during sale of portfolio, including organising and overseeing information sharing between parties.
  • Liaise with external auditors as required.
  • Liaise with brokers and cedants to maintain good working relationship.
  • Assisting in-house legal team with Regulatory adherence.
  • Additional Responsibilities
  • Sports & Social committee member
  • Employee Committee Council member
  • First aider

Hiscox Team Leader & Account Manager

WNS Assistance
2017.03 - 2018.07
  • Dealing with high net worth policyholders and managing team discretion.
  • Carrying out monthly quality audits on team members to monitor and report on leakage.
  • Responsible for ensuring that team SLAs are met, encouraging team members to increase productivity where required.
  • Responsible for providing coaching for team members including personal development plans and one to ones and developmental feedback.
  • Attending Hiscox Senior Management meetings to provide feedback and provide process improvement suggestions including supplier management.
  • Produce monthly MI Packs and data slides to senior management and directly to the client.
  • Developing and amending existing processes to ensure maximum efficiency and consistency including use of Visio to create new process flows.
  • Redesign the company training academy to progress staff and therefore retain talent where appropriate.
  • Reviewing and amending team resource model to ensure team operating within budget.
  • Responsible for complaint resolution for the team within agreed company and client timescales and target. Improved complaint ratio to 0.7%
  • Additional activities:
  • Attending sales meetings for potential new WNS clients and acting as a subject matter expert.
  • Assisting in the implementation of new WNS client’s pack including providing commentary around suggested policy wording.

Hiscox Senior Claims Handler

WNS Assistance
2015.05 - 2017.03
  • Handling the claim from cradle to grave on a delegated authority for the client comprising of arranging repairs, hire, recovery, liability dispute, credit hire defence and personal injury claims including ex-MOJ.
  • Using the MOJ Portal on a daily basis to handle personal injury claims.
  • Handling complaints both verbal and written.

Disease Claims Specialist (Senior Claims Handler)

Willis Ltd
2011.10 - 2015.05
  • Dealing with disease claims on a delegated basis, end to end.
  • Tracing historic employers liability insurance for several clients and assessing corporate history.
  • Attending meetings with high profile clients at various locations.
  • Preparing reports, data analysis and presenting to client, insurance companies and Account management team.
  • Using the MOJ portal where appropriate.
  • Attending disease conferences and training seminars to expand knowledge and keep up to date with developments in the disease market.
  • Training junior members of staff in both traditional and delegated handling.

Claims Handler – Liability and Property

Willis Ltd
2010.10 - 2011.10
  • First Party Claims end to end.

Repair management team – Commercial and Private Motor

Countrywide Accident Assistance
2010.01 - 2010.10
  • Motor FNOL and Repair Management.

Third Party Claims Handler - Motor

Axa Insurance
2007.06 - 2009.08
  • Motor claims handling including liability disputes.
  • Training various new members of staff.
  • Credit hire defence.

Various customer service and entry-level insurance roles

Earlier Career

Education

Diploma - Insurance (Dip CII)

Diploma - Operations Management Level 3 (CPD)

2018.04 -

Certificate - Higher Education

Open University
2017.04 -

Certificate - Insurance (CII)

2012.11 -

High School - undefined

Westcliff High School For Girls
1997.09 - 2002.07

Skills

  • Technical Claims Analysis

  • Experience across various classes of business

  • Use of ECF2/CLASS

  • Good communication skills

  • Cert CII working towards Dip CII

  • (one module left to complete)

Timeline

Technical Claims Adjuster

AXA Liabilities Managers
2018.08 - Current

Diploma - Operations Management Level 3 (CPD)

2018.04 -

Certificate - Higher Education

Open University
2017.04 -

Hiscox Team Leader & Account Manager

WNS Assistance
2017.03 - 2018.07

Hiscox Senior Claims Handler

WNS Assistance
2015.05 - 2017.03

Certificate - Insurance (CII)

2012.11 -

Disease Claims Specialist (Senior Claims Handler)

Willis Ltd
2011.10 - 2015.05

Claims Handler – Liability and Property

Willis Ltd
2010.10 - 2011.10

Repair management team – Commercial and Private Motor

Countrywide Accident Assistance
2010.01 - 2010.10

Third Party Claims Handler - Motor

Axa Insurance
2007.06 - 2009.08

High School - undefined

Westcliff High School For Girls
1997.09 - 2002.07

Various customer service and entry-level insurance roles

Earlier Career

Diploma - Insurance (Dip CII)

Samantha Gilbey (Cert CII)