Delegated Claims Analyst/Manager

Overview

In this role you will support the Claims Operations Manager in supervising delegated claims, ensuring due diligence on DCAs, and monitoring performance of TPAs. You will gather data, drive process improvements, and coordinate audits and remedial actions to align claims activities with internal controls and industry standards. This position offers exposure to Lloyd’s-scale operations and the chance to shape claims governance and efficiency. A strong emphasis on cross‑functional collaboration and risk management underpins the role.

Responsibilities

• Assist Claims Operations Manager with due diligence and sign-off progression for proposed DCAs
• Manage day-to-day delegated claims activities and gather MI data
• Review and improve TPA performance and claim handling processes
• Oversee approvals and administration of third parties with claim authority
• Coordinate audits and follow-up on remedial actions for DCAs
• Manage loss fund, liaise with brokers, loss adjusters, TPAs and lawyers
• Maintain in-house claims systems and ECF to streamline workflows
• Contribute to internal/external audits and resolve processing errors
• Review and approve claims bordereaux and cash calls
• Support claims projects and alignment with internal controls and industry standards

Key requirements

• strong communication and stakeholder management
• attention to detail and analytical mindset
• problem solving and proactive collaboration
• ECF and in-house claims systems
• data collection and MI reporting
• claims process optimization

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