Claims Operations Specialist

2 months ago


London, Greater London, United Kingdom Ki Insurance Full time
Job Details: Delegated Claims Operations Specialist

Vacancy Name: Delegated Claims Operations Specialist

Employment Type: Permanent

Location: London

About Ki Insurance: At Ki Insurance, we believe that the uncertainty of the future should never stand in the way of progress. That's why we exist. To help people and businesses face the future and thrive. We are change-makers enabled by a global workforce who collaborate to deliver a risk service. A team empowered to help our customers not only to survive the risks they face, but to stay on the front foot and keep moving forward. We believe the uncertainty of tomorrow isn't something to fear but to seize; that it's full of potential. Not only for our customers but our employees too.

We might write the future of risk for our brokers and clients, but we would love to help you write your future at Ki Insurance: a future based on not just progressing but on thriving – both professionally and emotionally. If you're looking for a place to make a real difference, read on.

Key Responsibilities:

  1. Coordinate the capture and ongoing maintenance of due diligence information on DCAs.
  2. Handle the issuance, negotiation, and ongoing maintenance of TPA service level agreements.
  3. Onboard and manage DCAs interactions with Ki Insurance's Delegated Claims Management Platform.
  4. Coordinate the maintenance of the DCA Panel, including calibrating materiality, DCA categorisation, panel segmentation, off-panel appointments, and any portfolio transitions.
  5. Manage all aspects of the Claims Bordereaux process, from setting data standards and validation to tracking, chasing, query management, and processing service delivery.
  6. Oversee the Loss Fund and reconciliation process, liaising with Finance, completing Financial Controls, transitioning Loss Funds into new liquidity management solutions like Vitesse & FCP, and managing relevant service providers.
  7. Coordinate all Delegated Claims Management oversight processes, including trending findings, tracking actions, and reporting.
  8. Support the monitoring of DCA performance, developing and producing reports, attending service review meetings, tracking actions, and providing insights to Claims and Underwriting.
  9. Assist in the development of management information and reporting, attend committees and meetings to provide updates on Delegated Claims / Loss Fund Management to relevant stakeholders.
  10. Be the point of contact for the Claims Technical Team, addressing queries and concerns, and helping to maintain high customer service standards and delivery.
  11. Support projects, continuous improvement initiatives, and technology enhancements.

Accessibility: We're located in the Leadenhall Building on Leadenhall Street (EC3V 4AB) and are situated on floors 16 – 18, and 39. All of our floors are accessible by lift, and there are building staff on hand to point you in the right direction. The closest train / underground / DLR links are: Liverpool Street Station (7 mins), Bank Station (6 mins), Fenchurch Street Station (6 mins), Aldgate Station (7 mins). The nearest bus stop is St Mary Axe (Stop LR or Z), which is located just outside the building. If you have any other questions regarding accessibility, please ask.


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