Senior Claims Specialist

4 weeks ago


United Kingdom mbf Full time

Senior DA Claims Specialist - London

£80,000

Key Responsibilities:

  • Within the Delegated Authority Practice Claims Manager and other senior stakeholders to deliver corporate goals and promote company core values.
  • Technical support and claims handling judgment to ensure outstanding customer service.
  • Manage relationships with Third Party Administrators (TPAs) and Delegated Authority Practice (DAP), ensuring compliance with service level agreements (SLAs) and claims handling standards.
  • Oversee the effective triage for claims referred to the claims team.
  • Ensure adherence to claims reserving philosophy and standards.
  • Support sourcing, selection, and onboarding of new TPA service arrangements when necessary, with various stakeholders throughout the claim lifecycle, including TPAs, Coverholders, policyholders, brokers, co-insurers, actuaries, and underwriters.
  • Conduct regular relationship meetings/calls with TPAs and DAP relationships.
  • Annual delegated authority audit strategy and delivery.
  • Measure compliance with best practices, service, and communication through system reporting and internal file audits.
  • Collaborate with Claims Operations Teams to improve operational efficiencies and outsourcing of non-technical tasks.
  • Ensure compliance with approved Panel list, including direction to external lawyers and adjusters.
  • Work with underwriters and business development managers to promote good working practices and client relationships.
  • Handle customer/TPA complaints efficiently in accordance with Conduct Policy.

Qualifications and Skills:

  • Experience in claims management or similar role within the insurance industry.
  • Strong communication and interpersonal skills.
  • Excellent organizational and time-management abilities.
  • Work effectively with multiple stakeholders and manage competing priorities.
  • judgment and decision-making skills.
  • Knowledge of insurance claims processes and regulations.
  • Familiarity with delegated authority practices and third-party administration.



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