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Claims Operations Specialist
2 months ago
Company: Claims Recruitment Services
Job Title: Claims Analyst
Job Summary:
We are seeking a highly skilled Claims Analyst to join our team. The successful candidate will assist the Claims team in delivering a robust TPA oversight, and optimize team efficiency by delivering data, MI, and insights on TPA and Claims Department performance.
Key Responsibilities:
- Manipulating third-party data and providing analysis of claims to highlight trends, performance issues, leakage, costs, spend, litigation, and fraud.
- Assisting with building a performance framework.
- Helping to enhance the company's claims analytical offering.
- Gathering and generating KPIs and MI reports for claims monitoring purposes and analysis.
- Improving the quality of data received from third parties.
- Handling the management and reconciliation of loss funds, and assisting with Lloyd's market funding initiatives.
- Identifying opportunities to streamline and improve claims processes.
- Leading the design of claims bordereaux templates and writing specifications.
- Handling claims data entry, specifically for internally managed claims when required.
- Supporting the Head of Claims in relation to claims initiatives and projects.
- Assisting with creating effective reports, selecting essential, relevant criteria, and information, and passing this on to Claims Managers and Underwriters.
- Collaborating continuously with Underwriters to help them gain and retain profitable business.
Key Requirements:
- Candidates will ideally have previous experience within a claims data analytics role.
- Knowledge of London Market DA Claims operations/procedures and/or Claims TPA knowledge, and the principles of risk management.
- ACII (or equivalent) qualified, or progressing towards qualification.
- Advanced literacy and numerical skills.
- Excellent interpersonal and communication skills, both verbal and written.
Keywords: Claims Analyst; Claims Operations Analyst; Claims Ops Analyst; Claims Operations; Claims Technician; Delegated Underwriting Authority; Delegated Authority; DA; DUA; Claims MI; Claims Data Analyst; London Market; Lloyd's Market; Lloyd's Syndicate
