Actuarial à Grande-Bretagne

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Job Description

The Delegated Authority Claims Manager will be responsible for managing and overseeing Westfield Specialty delegated claims authority relationships to ensure that these are operating effectively and that Coverholders and Third Party Administrators are providing the exceptional standards of claims performance and service that accord with Westfield Specialty Claims Philosophy and Lloyd's Minimum standards.

Responsibilities

1. Lead a team of Due Diligence Analysts to ensure the effective and consistent management of delegated risk (Coverholders, Sub-Coverholders, Brokers, Sub-Brokers, Lineslips, Consortia etc.).
2. Deploy resource across the Due Diligence team to ensure all business SLAs across application and renewal management are met and reported accordingly.
3. Ensure the Due Diligence team is well coordinated and works in unison with the rest of the delegated function and key business functions such as Claims, Finance, Actuarial, Legal, and Underwriting.
4. Identify training needs and provide development and support to the Due Diligence team as required.
5. Responsibility for Argo Service Company and new lead Lloyds (London/Brussels) applications of various; new class, new branch offices, new region, change of Coverholder name and/or ownership.
6. Further embed Due Diligence processes via Argo's new delegated authority platform managing underwriter and stakeholder feedback and expectations as well as overseeing appropriate change requests as required.
7. Ownership and management of various projects, systems and governance reviews supporting delegated services and ensuring the organizations needs are met and remain fit for purpose.
8. Representation at Lloyd's various committees and working groups governing changing market practice in relation to delegated authority.
9. To have a clear understanding and communicate to the wider team the company's risk appetites in terms of delegated authority, conduct and financial crime and complying with all relevant regulatory requirements.
10. Managing and overseeing all aspects of Westfield Specialty delegation of claims authority to Coverholders and Third Party Administrators save for technical referral of claims above authority which falls to the relevant Class of Business claims teams.
11. Together with the relevant Class of Business Claims Managers, acting as the relationship manager and key point of contact for all Coverholders with delegated authority and TPAs.
12. Managing Westfield Specialty TPA panel.
13. Maintaining Westfield Specialty 4 pronged control framework over the delegation of claims authority to ensure that this is operating effectively and that Coverholders and TPAs are providing the exceptional standards of claims performance and service that accord with Westfield Specialty Claims Philosophy and Lloyd's Minimum standards.
14. Undertaking claims due diligence on Coverholders with delegated authority and TPAs and, in conjunction with the Claims Managers for the relevant Classes of Business, signing off on the delegation of authority and level of financial authority granted and documenting the rationale. Ensuring claims due diligence is kept up to date on an annual basis.
15. Agreeing and updating Service Level Agreements and ensuring these are in place for all Coverholders with delegated authority and TPAs.
16. Overseeing the outsourced review and processing of monthly financial bordereaux including appropriate triage to Claims Managers and Handlers on set criteria being met, ensuring these are up to date and reporting any issues to Claims Managers, the Binder Authority Team and Underwriters.
17. Reviewing monthly reports on performance of Coverholders with delegated authority and TPAs against Service Level Agreements to ensure compliance and reporting any issues to Claims Managers, the Binder Authority Team and Underwriters.
18. Reviewing loss fund adequacy and managing recovery of loss funds on prior years.
19. Coordinating comprehensive annual claims audits of Coverholders with delegated authority (in conjunction with the Binder Authority Team) and TPAs, attending wrap up sessions as required, providing feedback and maintaining issues log to ensure all action items are addressed. Reporting into relevant Class of Business Claims Managers on performance. Working with Coverholders and TPAs to improve performance as necessary.

Qualifications

1. Demonstrated experience in coordinating end-to-end Delegated Authority Due Diligence and oversight.
2. Strong knowledge of Lloyd's systems, including: ATLAS, DCOM & Crystal.
3. Watertrace (BDX & IQ Canvases) system knowledge is preferable but not essential.
4. Strong stakeholder management experience, building and strengthening relationships within the business at all levels as well as with brokers and Coverholders as required.
5. Solid experience as a Delegated Authority Claims Manager or Manager/Senior Claims Handler who has worked extensively with Delegated Authority arrangements.
6. Experience of UK and overseas delegated authority arrangements and third party administrators preferable.
7. Demonstrated understanding of Lloyd's Minimum Standards.
8. Experience with and working knowledge of claims systems and reporting tools.
9. Exposure to Audits.

1. Educated to at least A level standard.
2. LMMIT / LM1 & LMA2- Pass preferable.