A widely respected City based insurance company seek a TPA Claims Oversight Manager. The primary responsibilities of the role include providing specialised technical claims expertise to clients and third-party administrators involved in distributing and managing general and miscellaneous non-life insurance business.
You will be responsible for overseeing Delegated Authority claims, including the identification and implementation of enhancements to the claims handling processes, aimed at improving outcomes for both customers and the business. This will be a hybrid role.
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Product categories include:
Automotive extended warranty contracts, GAP insurance, Cosmetic Protection Products, Key Insurance, Mis-fuelling, and Roadside Assistance.
Motor Excess.
Domestic Appliance extended warranty.
Furniture Insurance – AD, structure, stains.
Mobile Phone / Gadget insurance – AD, theft, loss, screen protection
Primary Job Functions
Serving as a primary contact for partners on claims-related inquiries, complaints, and general claims advice.
Using technical expertise to advise underwriters on product coverage levels and key amendments or additions to product terms and conditions.
Ensuring that claims management processes align with pricing assumptions and that partners administer business in accordance with policy terms.
Supporting the Claims Director in establishing and implementing operational KPIs and generating claims insights.
Developing and managing an effective claims Delegated Authority (DA) process for a diverse claims portfolio.
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