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Senior Delegated Authority Claims Technician
3 months ago
Key Responsibilities:
nCollaborate with the Delegated Authority Practice Claims Manager, Deputy Head of Claims, and Head of the Delegated Authority Practice to achieve our corporate objectives values.nProvide 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.nManage 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.nOversee the effective triage of claims referred to the claims team, ensuring adherence to claims reserving philosophy and standards.nAssist in sourcing, selecting, and onboarding new TPA service arrangements as needed, working closely with the DAP manager.nCollaborate with various stakeholders including TPAs, Coverholders, policyholders, brokers, co-insurers, actuaries, and underwriters throughout the claims process.nSupport 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.nWork with Claims Operations to enhance operational efficiencies and outsource non-technical tasks, contributing to streamlined processes.nCollaborate with claim pillar heads to ensure effective resource utilization in meeting TPA/DAP objectives and referrals.nEngage with underwriters and business development managers to foster positive client relationships and promote best practices.nServe as the primary point of contact for customer/TPA complaints within the team, ensuring prompt and efficient resolution in accordance with Conduct Policy.
Requirements:
n
- ACII qualified or working towardsn
- Experience in the London Market in relevant classesn
- 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.n
- Knowledge of law and insurance regulations in various jurisdictions.n
- Ability to effectively interact with brokers and internal departments is essential.n
- Strong verbal, written communication and organization skills.n
- Strong negotiation, analytical and decision-making skills also required.
