Claims Delegated Authority Manager
Posted on Mar 27, 2020 by Resource Solutions - GSC
Job Title: Claims Delegated Authority Manager
Location: Rotterdam or Amstelveen
The purpose of the role is to support the oversight of the Delegated Authority Management. This will include delivering key elements of the Delegated authority framework in place across the claims function. The primary focus of the role will be the ongoing oversight and monitoring of the Delegated Authorities (Claims Handling Authorities and Third party Agreements) and associated governance activities and monitoring of services delivered.
The company is a global speciality insurer which operates in a heavily and increasingly regulated environment. As a result, robust design and operational effectiveness of MS Delegated Authority framework is a business critical requirement. Notwithstanding the regulatory importance, maintaining the effectiveness of this Framework will also enable Claims to continue delivering exceptional and consistent service in line with the company's Claims and Reserving Philosophies.
Key Result Areas
Maintain and continuously improve the Delegated Authority framework for Claims.
Support the Bam team and claims teams in assessing, reporting and improving the Claims business unit's adherence to the delegated Authority framework.
The role holder will be responsible on a monthly basis for reporting on the following performance criteria (including, but not limited to):
Monitoring of all contracts via Key Performance Indicators (KPIs) (operational, financial and cultural) for all TPA's and CHA's
External service level agreement (SLA) data, primarily from entities to whom the company have delegated a claims handling authority
Analysis of Claims related Complaints and Declinatures (if outsources)
Audit planning in place
The role holder will be responsible for the following key activities attaching to performance monitoring:
Onboarding and renewal of TPA's, Claims handling authorities
Analysing data received from coverholders
Maintain audit planning and perform audits
Relationship management with TPA's and coverholders and brokers with CHA
Identify areas to refine/enhance our Standards and local procedures
Identify best practices to share across all claims locations, and also to ensure consistent approaches are adopted across claims teams, where appropriate
Monitor and report progress of recommendations
Engage with external stakeholders to:
Utilise their views to shape our service and performance
Respond to any changes in regulatory or market practices, which impact our performance
To maintain and develop relationships with other areas within the Group, including the following:
Underwriters & Underwriting Operations
Compliance and Risk Teams
Act as Claims representative on any internal working group or committee, as required by the company's Claims.
It is essential to be proficient in Dutch and English
It is essential to have experience with claims, with binder management and coverholders experience
Technical knowledge and knowledge of insurance is essential along with knowledge of Dutch market
Class specific insurance/reinsurance knowledge
Judgement and decision making capability
Evaluation and Analysis
Good personal time management
Attention to detail
Good interpersonal skills
Compliance with standards & procedures
It is desirable to have international Belgium and Dutch regulators experience and to have regulatory experience although this is not essential