Claims Manager
3 weeks ago
Job Description
New Vacancy - Claims Manager
Manchester
Key Responsibilities
- Efficiently handle the referral of complex claims and those meeting program criteria, monitoring them closely.
- Inform interested parties and management of new claims and major loss movements as necessary.
- Collaborate with the actuarial team to provide detailed information for establishing claim specific IBNRs.
- Supervise the analysis of claims performance against forecasts, ensuring alignment with expectations.
- Conduct due diligence reviews for new opportunities, including travel as needed.
- Address and resolve MGA claims audit findings with MGAs/TPAs, providing feedback to the audit team.
- Support the Compliance Manager in addressing claim-related complaints.
- Cultivate relationships with external parties relevant to each case.
- Monitor the entire Claims book, focusing on accurate reserving, cost control, proactive management, and exceptional customer service.
- Evaluate Claims resources, plan for future needs, and oversee recruitment efforts.
- Ensure completion of Claims Quality Audit, Peer Review, and other governance processes to drive continuous improvement.
- Conduct regular appraisals with Team Leaders to provide feedback, support their development, and address any complex HR issues.
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