Senior Claims Specialist - Mining

The role

• To be accountable & responsible for handling Mining claims within a designated claims authority limit, via referral, to ensure that the best outcomes for our policyholders and business are achieved consistently and that all policyholders are treated fairly throughout the lifecycle of the claim.

• Assisting the Claims Manager in motivating and developing high-performing resource, both internally and externally, to produce a well-reputed 'London market' claims proposition for Mining classes of business, proactively delivering a first-class claims experience to policyholders, brokers and internal stakeholders in adherence with all guidelines, claims philosophy and procedures.

• To be key subject matter expert within the team for all claims written across all Mining classes, providing specialist knowledge as required with regard to all classes of business considered under these divisions.

• To actively monitor claims for relevant classes of business to ensure early and prudent best estimate reserves are in place & entered into systems, valid claims are settled promptly with a tight control of costs throughout lifecycle. Additionally, manage internal reserving process from claims perspective, providing claims insights in order to develop/retain profitable business.

• To support the MEPC Claims Manager, to deliver the strategic objectives for the function. This includes managing business change, whilst executing the Claims Business Plan/Claim initiatives.

Key accountabilities

• To be accountable for oversight and management of all claims and ensure all are handled promptly and fairly from FNOL to settlement, with due consideration of subrogation/contribution where appropriate and tight costs control, all of which should be openly communicated throughout the claims lifecycle to relevant stakeholders.
• To be a point of reference and subject matter expert for responsible claims in the UK Branch, taking technical referrals from team. Further, to ensure that consistent superior levels of claims service are delivered whilst promoting standardized best practice & effective procedures for relevant lines of business.
• Responsible to maintain 'green' KPI performance including, but not limited to: claims correspondence turnaround times within 3 days, accurate reserving, tight claims lifecycle times, prompt payment and no static claims.
• Responsible for ensuring all claims data is correct and up to date in all relevant systems, regardless of how and where claims data is processed.
• Working with Claims Manager & Claims Performance & Operations Team to identify and enhance the quality and value of processes for your area of work
• To actively participate in business change to transform current claims proposition towards our vision for a future claims service model of Claims - UK
• Adhere to all appropriate regulations and laws, along with Branch and Group guidelines, processes and procedures (particularly BaFin & FCA)
• Regularly access and monitor claims data to ensure quality of claims financials & provide insights to various internal stakeholders verbally and produce monthly and ad hoc claims reports
• Manipulate data & provide analysis of claims to highlight trends, performance issues, leakage, costs spend, litigation and fraud and assist in the development of processes for improvement for responsible lines, responding to business requests

Skills & experience

• Proven (10+ years) of Claims Market Experience.
• Experience required in claims for Property or Energy experience would be of additional interest.
• Degree/ACII or similar professional qualification (desirable).
• A firm understanding of the key principles and practices of the London Market.
• Must understand the claims process and its complexities and variations from first advice to final settlement.
• Knowledge of the different broking procedures and claims reporting.
• Up to date appreciation of the technical, legal and regulatory requirements of the role.
• Proven Vendor/Expert Management.
• Budget and costs control.
• Willingness to travel.
• Up to date understanding and practice of the technical/legal requirements of the role.
• Excellent knowledge of all specific I.T. applications used in the role (CLASS/ECF2, MS Office, Large Loss Claims System).
• Strong analytical skills and the ability to interpret financial information sensibly to ensure accurate and consistent. information is being provided at all times.
• Be able to influence opinion to achieve desired outcomes.
• The ability to make sound judgments under pressure.
• Passionate about claims resolution and client experience; service-orientated
• Ability to translate strategic thinking into tangible plans.
• Capability to adapt and be flexible to change and evolving customer requirements and working practices
• Desire for continuous improvement of self, team members & claims service to be 'best version' Self-motivated

Other

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