in an accurate and timely manner the referral of large and complex claims and claims falling within the referral criteria of each program; and subsequently monitoring these referred claims in closer detail.
new claims and large loss movements to interested parties/reinsurers and management as required.
the flow of information with the actuarial team to ensure all necessary detail is provided to assist with the establishment of claim specific IBNRs at quarter end.
monthly analysis of claims performance of live programs with delegated authority and TPAs against expectations to ensure results are in line with forecasts.
claims due diligence reviews on new opportunities, which will include UK and overseas travel as required.
up and resolve MGAs claims audits findings and actions with MGAs/TPAs, providing feedback to audit team.
the Compliance Manager with claim related complaints.
and maintain relationships with external parties as applicable to each case.
performance of the entire Claims book, ensuring accurate reserving, control of indemnity spend, proactive claims management and excellent customer service for each product.
assess Claims resource and structure, plan for future requirements and manage Claims related recruitment activity.
responsibility of ensuring Claims Quality Audit, Peer Review and other Claims governance processes are completed, fit for purpose and provide client with the information required to continually improve.
appraisals with Team Leader throughout the year and ensure quality feedback and support is provided to support their development, as well as supporting with complex people matters.
The Person
years Technical Insurance Claims experience
passionate, enthusiastic and organised Leader capable of managing high levels of activity across the various departments.
to quickly assimilate information and report in a clear and concise manner to stakeholders.
thinking and confident in decision making.
on promises and build a reputation for excellence.
good communicator with the ability to create strong relationships and influence others.
The Set Up
to Head of Operations
for all Claims related activity within the business