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- Within the Delegated Authority Practice Claims Manager and other senior stakeholders to deliver corporate goals and promote company core values.
- Technical support and claims handling judgment to ensure outstanding customer service.
- Manage relationships with Third Party Administrators (TPAs) and Delegated Authority Practice (DAP), ensuring compliance with service level agreements (SLAs) and claims handling standards.
- Oversee the effective triage for claims referred to the claims team.
- Ensure adherence to claims reserving philosophy and standards.
- Support sourcing, selection, and onboarding of new TPA service arrangements when necessary, with various stakeholders throughout the claim lifecycle, including TPAs, Coverholders, policyholders, brokers, co-insurers, actuaries, and underwriters.
- Conduct regular relationship meetings/calls with TPAs and DAP relationships.
- Annual delegated authority audit strategy and delivery.
- Measure compliance with best practices, service, and communication through system reporting and internal file audits.
- Collaborate with Claims Operations Teams to improve operational efficiencies and outsourcing of non-technical tasks.
- Ensure compliance with approved Panel list, including direction to external lawyers and adjusters.
- Work with underwriters and business development managers to promote good working practices and client relationships.
- Handle customer/TPA complaints efficiently in accordance with Conduct Policy.
- Experience in claims management or similar role within the insurance industry.
- Strong communication and interpersonal skills.
- Excellent organizational and time-management abilities.
- Work effectively with multiple stakeholders and manage competing priorities.
- judgment and decision-making skills.
- Knowledge of insurance claims processes and regulations.
- Familiarity with delegated authority practices and third-party administration.
Senior Claims Specialist - London, United Kingdom - mbf
Description
Senior DA Claims Specialist - London
£80,000
Key Responsibilities:
Qualifications and Skills: