Senior DA Claims Specialist

Leading Lloyd's Syndicate

Hybrid working pattern.

Key Responsibilities:

• Support the Delegated Authority Practice Claims Manager and other senior stakeholders to deliver corporate goals and promote company core values.
• Technical support and claims handling judgment to ensure outstanding customer service.
• Manage relationships with Third Party Administrators (TPAs) and Delegated Authority Practice (DAP), ensuring compliance with service level agreements (SLAs) and claims handling standards.
• Oversee the effective triage for claims referred to the claims team.
• Ensure adherence to claims reserving philosophy and standards.
• Support sourcing, selection, and onboarding of new TPA service arrangements when necessary, with various stakeholders throughout the claim lifecycle, including TPAs, Coverholders, policyholders, brokers, co-insurers, actuaries, and underwriters.
• Conduct regular relationship meetings/calls with TPAs and DAP relationships.
• Annual delegated authority audit strategy and delivery.
• Measure compliance with best practices, service, and communication through system reporting and internal file audits.
• Collaborate with Claims Operations Teams to improve operational efficiencies and outsourcing of non-technical tasks.
• Ensure compliance with approved Panel list, including direction to external lawyers and adjusters.
• Work with underwriters and business development managers to promote good working practices and client relationships.
• Handle customer/TPA complaints efficiently in accordance with Conduct Policy.

Qualifications and Skills:

• Experience in claims management or similar role within the insurance industry.
• Strong communication and interpersonal skills.
• Excellent organizational and time-management abilities.
• Work effectively with multiple stakeholders and manage competing priorities.
• Knowledge of insurance claims processes and regulations.
• Familiarity with delegated authority practices and third-party administration.