Insurance Claims Governance Coordinator

Job Description

Job Title - Insurance Claims Governance Coordinator

Job Market - Insurance Claims

 

 

Insurance Claims Governance Coordinator - About the role

You will monitor external services suppliers, internal Claims and Operations processes / initiatives and delegated claims handling, to ensure operation in accordance with contractual, regulatory and best practice requirements.

The ideal candidate will have insurance industry experience within the Lloyd’s market and the experience in the governance of Delegated Claims Agents (DCAs).

Insurance Claims Governance Coordinator - Key duties

Responsible for all aspects of claims governance auditing.

Completion of the Annual Audit Plan covering Supplier and DCA audits.

Support the development and maintenance of a Claims Governance structure and framework for DCAs.

Assist the business in developing and implementing effective controls for specialist classes and follow up the actions to address control weaknesses identified.

Support the management of internal relationships with Audit, Risk, Conduct and Compliance.

Managing external auditors to complete audits of DCAs on our behalf; this includes setting scoping, review reports, coordinating action owners to agree remediation and following up audit actions.

Assist in ensuring that initiative change for Claims delivers targeted benefit whilst complying with internal and external governance policy.

Participate in cross-Claims improvement activities influencing outcomes which remain compliant and within our risk strategy.

Insurance Claims Governance Coordinator - Key requirements

Experience of DCA Claim management within Lloyd’s market

In depth knowledge of conduct risk and associated requirements such as they may relate to DCA provision/agreement e.g. TCF, Data Protection, laws, etc.

Understanding of Lloyd’s, PRA, FCA & FOS regulations; including Lloyd’s minimum standards

Understanding of corporate and regulatory complaints procedures

Good awareness of market quality standards for relevant services e.g. PAS 125, SRA governance of law firms

Interpretation of contractual and DCA agreement requirements