Delegated Claims Associate

Discipline: Claims
Job type: Permanent
Contact email: joshua@weareedenbrook.com
Job ref: J3649
Published: about 2 years ago
Delegated Claims Associate London – Flexible hybrid working £30,000 - £38,000 + bonus A rapidly expanding Insurance market leader are seeking a Delegated Claims Associate to join the Delegated Claims Team. Reporting into the Assistant Manager, this individual will liaise with all relevant internal and external parties to work towards oversight, control and management of Third Party Administrators and Claims Handling elements regarding acquisition arrangements and Audit programmes. Key Responsibilities & Accountabilities: • To support the management, control, and oversight of Third-Party Administrators (TPA) and claims handling parties granted delegated authority (DA) to settle claims. • Work with the TPA and the Claims personnel to ensure that the TPA’s performance is adequate. • Measure the TPA’s performance in line with benchmarking. • To support overall decision making with TPA’s delegated authority, loss funds and SLA’s. • To support the TPA Audit Programme and assist with co-ordinating TPA Audits • To collect and review the external audit reports, manage the action points, and assess the TPA’s performance. • To identify and validate process improvements around current audit function. • To assist the internal pre-audit function. • To provide support to the DA team ahead of new and existing acquisitions being on-boarded. • Record all data from TPA’s who transition to the company, including but not limited too; Binding authorities, loss funds, contact details. • Update and populate TPA Agreement declarations. • Attend meetings, calls, and networking with TPA’s to build professional relationships. • To make recommendations regarding the relative quality of delegated service providers in line with Lloyd’s reporting and control requirements • To report issues arising from TPA performance regarding underperformance (Red and Amber in respect of DA RAG rating, missing or late data or non-standard bordereau). You will need to be able to display you have the following qualifications and experience: • Operational/Technical claims experience • Management of TPA and partners, legal panel, and suppliers, demonstrating effective working relationships, cost, and value control • Evidence of working with key departments e.g., actuaries, finance, and litigation, to support and enhance business strategies • Produce, analyse, and report on MI and the performance of the department • Negotiating skills across all contacts • Application of concepts, theories and ideas at a strategic level and ability to make complex judgements • Understanding of regulation with ability to draft and recommend business strategy considering regulatory change • Company and market claims systems • Understanding of business economics and applying those concepts to improve the performance of the department • Understanding of the Lloyds market.