Claims Governance Manager

Primary Details

Claims Governance Manager

The Opportunity:

Reporting directly to the Head of Performance Management, joining our team as the Claims Governance Manager offers an exciting opportunity to play a pivotal role in shaping the company's governance strategy and ensuring its long-term success in a dynamic and evolving industry landscape.

With hybrid office working and excellent benefits including 30 days holiday, you will be working in a supportive and inclusive environment. We’re the down-to-earth, international insurer that is neither too big nor small, so you can make a real impact!

Your Role:

Governance Framework Development:

• Develop, implement, and continuously improve the company's governance framework, policies, and procedures to align with regulatory requirements and industry best practices.
• Establish governance metrics and performance indicators to assess the effectiveness of governance processes and controls.

Regulatory Compliance:

• Stay abreast of regulatory developments and ensure Claims compliance with all relevant laws, regulations, and guidelines governing the insurance industry in all jurisdictions of operation.
• Coordinate with legal counsel and regulatory affairs teams to interpret regulations and implement necessary changes to policies and procedures.

Risk Management:

• Lead the identification, assessment, and mitigation of risks associated with governance, compliance, and regulatory matters.
• Develop risk management strategies and collaborate with stakeholders to integrate risk considerations into decision-making processes.

Board Governance:

• Support the Executive Management groups in fulfilling their governance responsibilities on regulatory matters (such as Complaints and Conduct Risk) by providing guidance on governance best practices and ensuring timely and accurate reporting, as well as preparing board materials and follow up on action items to ensure accountability when required.
• Prepare and contribute to regulatory responses, such as Lloyd’s Attestations and other adhoc requests.

Internal Controls:

• Conduct periodic assessments of internal controls and recommend enhancements as necessary.
• Work with Technical Excellence to ensure all Claims teams produce process documentation that is in line with any policies in force, advising them of any areas of deficiency in their documentation.
• Chair QBE EO’s Complaints Working Group, overseeing all EO complaints performance against regulatory requirements, working closely with Compliance and other key stakeholders.

Stakeholder Engagement:

• Build and maintain effective relationships with regulatory authorities, industry associations, external auditors, and other stakeholders to facilitate open communication and collaboration on governance matters.
• Act as the key governance liaison for Claims, understanding their operational requirements and working with internal stakeholders to ensure we deliver against these against regulatory requirements
• Develop a clear communication strategy for Claims Governance

Leadership

• Support and contribute to the delivery of the annual business plan for the Performance Management function
• Monitor your teams budget to ensure there is no unplanned overspend
• Develop and coach the team to achieve targets, to a high standard in order to meet business requirements/service level requirements.
• Undertake quality control reviews of team output to ensure expected standards are met.
• Form part of the Leadership Team of the Performance Management
• Provide strategic input and views on the day to day running of the Performance Management function.
• Role model QBE DNA as a Senior Leader within the Claims function
• Take the lead on various projects and deliverables as required, whether Governance related or not.
• Work closely with the other members of the Performance Management Leadership to drive the implementation and communication of the Claims strategy to support delivery of overall business targets

About You:

• Extensive experience in Governance, Compliance, Risk Management, or related functions within the insurance or financial services industry, with a multinational scope preferred.
• Broad Claims management experience, deep understanding of the processes and extensive working knowledge of Claims systems and procedures
• Thorough understanding of regulatory requirements and industry standards applicable to insurance operations, including but not limited to Solvency II, GDPR, and anti-money laundering regulations and how they are applied to Claims Management
• Detailed understanding of various governance regimes, both internal and external
• Good knowledge of legal and regulatory requirements (specific reference to FCA/PRA/APRA/Lloyd’s regulation) including FOS and DISP and how they relate to Claims Management
• Strong leadership skills with the ability to influence and collaborate effectively across departments and geographical locations.
• Excellent communication and presentation skills, with the ability to articulate complex governance concepts to diverse audiences.
• Analytical mindset with a keen attention to detail and the ability to analyse data, identify trends, and draw meaningful insights to support decision-making.
• Demonstrated integrity, professionalism, and sound judgment in handling sensitive and confidential information.
• A strong team player

Why QBE? At My Best

At QBE, we want our people to feel rewarded and inspired to perform at their best, that’s why we have created “At My Best”. It’s our connection, our way of showing we have your back. We understand that one size doesn’t fit all and that priorities can change depending on your life stage. That is why our blend of wellbeing initiatives and benefits offer flexibility to suit what matters most to you. It’s in the culture of our business, our QBE DNA, to support our people. Everything we do is underpinned by our QBE DNA - because we know it’s not just what we do that matters, it’s how we do it that makes the difference.  In addition to this, we also offer flexible parental leave for both parents and have several employee network groups that support and empower our diverse workforce.