Senior Delegated Authority Claims Specialist

2 weeks ago


London, UK, United Kingdom mbf Full time

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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