Claims Controller

2 weeks ago

Leeds, United Kingdom QBE Full time

Primary Details

Time Type: Full time

Worker Type: Employee

Your responsibilities in this role may include, but are not limited to:

- Assist with the development of a strategic governance framework to provide effective assurance that procedures and processes are in place to mitigate the impact of risks arising from the external management of claims
- Ensure key operational activities are identified and correctly prioritised
- Evaluation of the delegated claims control environment and related risk management
- Assist in the management of the provision of external claims handling services in respect of identified EO claims teams or regions, specifically to:

- ensure the risk rating methodology remains effective and the data held in respect of DCA providers is accurate;
- exposure to contract negotiations and engage with QBE’s legal/procurement departments
- perform due diligence on any newly proposed DCA providers;
- assist to ensure the technical and governance audit plan is completed;
- ensure that the business rationale sheets held in respect of existing DCAs are reviewed for accuracy at renewal and create new business rationale sheets where required;
- assist with ongoing management of a panel of third-party auditors, ensuring services provided adhere to agreed methodologies;
- ensure the bordereaux provided by DCA providers adhere to agreed reporting standards (Lloyd’s Minimum Standards) and that receipt and verification is tracked appropriately;
- in conjunction with EO Legal and Procurement (as appropriate), ensure that DCA provider contracts are regularly reviewed and updated as necessary
- Evaluation of the claims control environment and risk management framework; and enhance the OSDT efficiencies via continual evaluation of our working practices and review for offshoring to QBE’s Global Shared Services
- Monitor the issues identified through audit to ensure effective remedies are implemented within agreed timeframes.
- Ensure ongoing oversight and strong relationship management to secure buy-in from DCAs and drive tangible improvement for KPIs including average cost and lifecycle.
- Assist on the deployment of external audits with a focus on technical competence, loss fund management and regulatory compliance
- Provide advice, in consultation with the OSDM/ACM, on controls to be incorporated into claims change programmes to enable any exposure to third party risk to be mitigated
- Design and delivery of various reports to encourage best practice behaviours with continual improvement initiatives
- Attend relevant EO governance meetings where required

Preferrable but not essential, ability to demonstrate the following qualities and abilities:

- Solid organisational skills to plan and manage own workload
- An understanding of Company, Lloyd’s and London Markets and the outsourced claims handling environment in multiple jurisdictions
- Able to communicate, negotiate, persuade, and influence at all levels
- Ability to build strong business relationships with key DCA providers
- Ability to review and interpret data
- Able to demonstrate a good level of IT competency including Excel
- Exposure to varied classes of business in a claims or audit role
- Experience of general insurer claims systems and procedures, and the various market systems Atlas; Charles Taylor TPA Database; Lineage; and ECF - desirable
- Team player with a strong analytical and forward-thinking approach with an ability to motivate and achieve required deadlines
- Knowledge of regulatory implications of delegated authority arrangement in relation to Lloyd’s and the FCA.

How to Apply:
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

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