Job Description
Delegated Authority Claims Specialist
London – Hybrid - £85,000
Interested in this role You can find all the relevant information in the description below.
Key Responsibilities:
- Collaborate with the Delegated Authority Practice Claims Manager, Deputy Head of Claims, and Head of the Delegated Authority Practice to achieve our corporate objectives values.
- Provide technical expertise and sound judgment to facilitate efficient claims handling and ensure superior customer service. While technical claims handling primarily falls within individual claims pillars, your role will involve offering robust technical support across various areas.
- Manage relationships with Third-Party Administrators (TPAs) and Delegated Authority Practice (DAP) partners, ensuring compliance with Service Level Agreements (SLAs) and maintaining high standards of claims handling.
- Oversee the effective triage of claims referred to the claims team, ensuring adherence to claims reserving philosophy and standards.
- Assist in sourcing, selecting, and onboarding new TPA service arrangements as needed, working closely with the DAP manager.
- Collaborate with various stakeholders including TPAs, Coverholders, policyholders, brokers, co-insurers, actuaries, and underwriters throughout the claims process.
- Support annual delegated authority audit strategies, measure compliance through reporting and internal file audits, and ensure adherence to approved panel lists for external legal and adjuster services.
- Work with Claims Operations to enhance operational efficiencies and outsource non-technical tasks, contributing to streamlined processes.
- Collaborate with claim pillar heads to ensure effective resource utilization in meeting TPA/DAP objectives and referrals.
- Engage with underwriters and business development managers to foster positive client relationships and promote best practices.
- Serve as the primary point of contact for customer/TPA complaints within the team, ensuring prompt and efficient resolution in accordance with Conduct Policy.
Requirements:
• ACII qualified or working towards
• Experience in the London Market in relevant classes
• Requires advanced knowledge of claims handling concepts, practices, procedures and techniques, including, but not limited to coverage issues, product lines, marketing, IT and product competition within the marketplace.
• Knowledge of law and insurance regulations in various jurisdictions.
• Ability to effectively interact with brokers and internal departments is essential.
• Strong verbal, written communication and organization skills.
• Strong negotiation, analytical and decision-making skills also required.