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The role
The team deliver Claims operational services as well as Premium processing for outsourced MGA’s.
Working within Client Services to supply a proactive and flexible service whilst driving best practice and ensuring compliance with all company procedures. This includes meeting agreed service and data quality standards, both internal and external.
Key accountabilities
- Validate and accurately enter data into company systems to enable precise reporting on the nature and financial impact of the claims portfolio
- Monitor the claims portal system and liaise with the Technical claims team to action as appropriate to ensure portal compliance
- Mange the receipt, registration, acknowledgment and allocation of claims notifications
- Process claims payments, reserve adjustments, and other financial movements in accordance with internal standards and authorisation levels using multiple internal and external systems
- Captive and funded recovery management. Identify and apply protocols to report and recover for all accounts requiring funding
- Reconciliations of claim and premium movements
- Reconciliation of claim payments and reserves on multinational inter-company accounts
- Cashflow management of large payments and outsourced escrow funds
- Distribution of monthly MI reports and liaising with other business units and external providers to resolve queries as necessary
- Creating and updating operational process manuals and other procedure documentation
- Assist with the documentation, maintenance and monitoring of compliance and governance initiatives
- Support the Technical claims teams to review SLA compliance and internal and external audit requirements
- Actively participate in projects or other initiatives designed to improve the effectiveness and efficiency of the claims operations team
- Undertake any other tasks as requested by the Claims Operations Manager in order that the team achieves its objectives
- Support in keeping intranet and website up to date
- Produce regular and ad hoc operations and KPI reports, extracting data from internal systems
Skills & experience
- Accuracy and attention to details
- Competent user of Excel & Word / Good user of Excel & Word
- Good communication, (written and oral), and interpersonal skills; comfortable with phone & face to face discussions with underwriters & other technical colleagues
- People management and motivation skills
- Able to organise own workload effectively to meet service standards
- Deadline focused; able to work under pressure to meet tight deadlines
- Good systems knowledge, experience of using systems to evaluate data
- Good understanding of insurance and the terminologies used.
- Good analytical and problem solving skills.
- A Level or equivalent qualifications or CII qualified at certificate level/part qualified at diploma level OR 2 years’ experience in Insurance or relevant operational role
- Understand financial impact of technical data processed
