To monitor and oversee the work and services provided by MGAs’ in-house claims departments and claims TPAs on delegated authority programs within the UK, Europe and US.
The Claims Manager’s functions to include: ensuring that service providers adhere to the Claims Handling Agreements’ terms and conditions and agreed service standards; handling or monitoring the referral of large claims outside of delegated authorities; ensuring appropriate information/documentation is available and internal claims records maintained; advising and updating reinsurers and management where appropriate; managing internal and external relationships; undertake due diligence on new opportunities.
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Handle in an accurate and timely manner the referral of large and complex claims and claims falling within the referral criteria of each program; and subsequently monitoring these referred claims in closer detail.
- Report new claims and large loss movements to interested parties/reinsurers and management as required.
- Maintain the flow of information with the actuarial team to ensure all necessary detail is provided to assist with the establishment of claim specific IBNRs at quarter end.
- Oversee monthly analysis of claims performance of live programs with delegated authority and TPAs against expectations to ensure results are in line with forecasts.
- Undertake claims due diligence reviews on new opportunities, which will include UK and overseas travel as required.
- Follow up and resolve MGAs claims audits findings and actions with MGAs/TPAs, providing feedback to AIEL’s audit team.
- Assist the complaints team with claim related complaints.
- Build and maintain relationships with external parties as applicable to each case.
- Review where required claims TPA’s contracts with external suppliers to ensure best rates and terms are in place.
- Oversee projects as required.
- Complete duties as assigned.
- To maintain compliance with any applicable UK or International statutory or regulatory obligation as required by the role. This includes but not limited to obligations arising from:
- The prudent management of the business.
- Placing due regard on the interests of customers.
- Observing rules on Sanctions and financial crime.
- Regulatory requirements and local licensing restrictions.
- Promoting and follow the Group’s whistleblowing procedures.
- Where applicable, following the Company’s Consumer Duty principles to deliver good outcomes for retail customers
Strong technical knowledge and experience of claims.- Good communication and negotiation skills.
- Good analytical and problem-solving skills.
- Ability to multi-task and work in an environment with changing priorities.
- Good written reporting skills.
- Knowledge of IT systems.
- Ability to work to strict deadlines.
- Ability to influence others.
- 10+ years’ claims experience in various classes Financial Lines insurance claims is essential. These classes could include Directors & Officers, Professional Indemnity, Cyber, Political Risk, Contingency, ATE, Legal Expense.
- Exposure to claims in several European jurisdictions an advantage.
- Proficient in office products incl. Word, Excel and PowerPoint.
- Experience of delegated authorities/program management advantageous.
- Fluent in Italian or other European languages advantageous.
- Legal or CII Qualified advantageous.
A leading program manager operating across the US, UK and Europe, Accredited is the only dedicated program partner to provide A- rated insurance capacity in each of the US, UK and Europe, writing admitted and non-admitted business in all 50 US states.
A.M. Best, a global credit rating agency specializing in the insurance industry affirms the Financial Strength Rating of A- (Excellent), with a Financial Size Rating of IX for Accredited Specialty Insurance Company, Accredited Surety and Casualty Company Inc. (also referred to as Accredited America) and Accredited Insurance (Europe) Limited (Malta), collectively known as Accredited.
Accredited America offers a broad range of insurance solutions in 50 states and the District of Columbia. The strength behind Accredited America is Accredited Surety and Casualty Company, Inc. and Accredited Specialty Insurance Company, both of which are rated A- by AM Best.
Accredited Insurance (Europe) Limited is a Maltese based insurer providing capacity solutions in the UK and across Europe, across a number of different product lines. Accredited Europe is A- rated by A.M. Best.
