Senior Delegated Claims Examiner at Sompo
Join to apply for the Senior Delegated Claims Examiner role at Sompo. Sompo has a unique opportunity for a Senior Delegated Claims Examiner in our UK Delegated Claims team. In this role, you’ll manage a portfolio of delegated claims arrangements, including all aspects of onboarding, oversight, and operational performance. Ensure compliance with Sompo standards and local regulatory requirements, managing run‑off portfolios, and facilitating the transition of claims handling to new arrangements.
What You’ll Be Doing
* Leading the end‑to‑end onboarding process for a portfolio of delegated claims handling arrangements
* Collaborate with delegated underwriting, legal, and compliance teams to ensure that all agreements align with internal policies and regulatory requirements
* Support the Delegated Claims Manager in developing and implementing onboarding workflows to ensure a seamless integration of new delegated claims arrangements
* Conduct due diligence on delegated claims arrangements
* Establish reporting and data‑sharing dashboard requirements with our delegated claims arrangements
* Act as the primary point of contact for ongoing oversight for a portfolio of delegated claims arrangements
* Monitor performance against agreed service levels
* Review and analyze delegated claims data to identify trends, anomalies, or areas requiring improvement
* Provide regular performance feedback to delegated claims arrangements and elevate significant issues to the Delegated Claims Manager
* Support the Delegated Claims Manager in conducting a delegated claims risk assessment to determine and prioritize the annual audit schedule
* Work closely with an external audit panel, ensuring our annual audit schedule is met
* Facilitate pre‑audit assessments with claims and our external audit panel
* Attend audit fieldwork wrap‑up meetings and ensure final reporting SLAs are met
* Review audit reports for quality and adherence to Sompo’s delegated claims audit scope
* Manage audit stakeholder relationships and close audit subjectivities, collaborating with delegated claims arrangements to address identified gaps or weaknesses and ensure corrective actions are implemented timely
* Maintain an up‑to‑date understanding of regulatory changes and their potential impact on delegated claims arrangements
* Support the run‑off of delegated claims portfolios and ensure open claims are handled efficiently and in line with company standards
* Support the process of transferring claims handling responsibilities to new delegated claims arrangements or in‑house claims teams
What You’ll Bring
* Extensive experience working within an insurance company or a Lloyd’s managing agent
* Comprehensive understanding of delegated claims arrangements, regulatory compliance requirements, and conducting due diligence on MGAs and TPAs
* Excellent written and verbal communication skills, and the ability to influence stakeholders at all levels in the organization
* Ability to deliver outputs based on given priorities, achieving tasks within tight deadlines
* Detail‑oriented with a strong commitment to accuracy and integrity
Our Benefits
* Expansive Health & Wellness Benefits
* Generous Retirement & Savings Plans
* Global Parental Leave & Adoption Assistance
Location: London, England, United Kingdom
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