Senior Delegated Authority Claims Specialist
2 weeks ago
Delegated Authority Claims Specialist
London – Hybrid - £85,000
Key Responsibilities:
- Collaborate with the Delegated Authority Practice Claims Manager, Deputy Head of Claims, and Head of the Delegated Authority Practice to achieve our corporate objectives values.
- Provide 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.
- Manage 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.
- Oversee the effective triage of claims referred to the claims team, ensuring adherence to claims reserving philosophy and standards.
- Assist in sourcing, selecting, and onboarding new TPA service arrangements as needed, working closely with the DAP manager.
- Collaborate with various stakeholders including TPAs, Coverholders, policyholders, brokers, co-insurers, actuaries, and underwriters throughout the claims process.
- Support 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.
- Work with Claims Operations to enhance operational efficiencies and outsource non-technical tasks, contributing to streamlined processes.
- Collaborate with claim pillar heads to ensure effective resource utilization in meeting TPA/DAP objectives and referrals.
- Engage with underwriters and business development managers to foster positive client relationships and promote best practices.
- Serve as the primary point of contact for customer/TPA complaints within the team, ensuring prompt and efficient resolution in accordance with Conduct Policy.
Requirements:
- ACII qualified or working towards
- Experience in the London Market in relevant classes within DCA practices
- Requires advanced knowledge of claims handling concepts, practices, procedures and techniques
- Knowledge of law and insurance regulations in various jurisdictions.
- Strong negotiation, analytical and decision-making skills also required.
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