We are seeking an experienced Claims Controller to support the Head of Claims Governance and Conduct and the Claims Control Manager in the day-to-day operation and future development of our Claims governance and oversight framework.
The main purpose of this role is to ensure that the EMEA Claims function operates in compliance with all internal and external regulatory and governance policy requirements. You will play a central role in maintaining and operating the Claims Control framework, working closely with the Claims Controls Manager. This position involves direct involvement in the preparation and execution of regulatory and corporate governance audits, including ACPR, FCA, PRA, Lloyd’s, and SOX.
Key Responsibilities:
Claims Controls:
* Support the day-to-day operation of the Claims Control framework to ensure compliance with COG Claims Framework requirements and relevant regulations.
* Ensure timely and accurate triggering, performance, and operation of claim controls.
* Review and enhance the design and operation of claims controls, performing root cause analysis as necessary.
Claims Control Framework Documentation:
* Assist in maintaining the EMEA claims control framework documentation.
* Draft and review updates to Claims Guideline, Best Practice, Process, and Control Narrative/Wording documentation.
* Execute a regular cycle of review, approval, and roll-out of documentation to ensure compliance with standards.
Claims Authorities:
* Support the maintenance and operation of the claims authority framework.
* Assist in the maintenance, operation, and enhancement of the claims authority and system access (CASA) process.
* Manage IT and Genpact’s contribution to the CASA process and Claims Authority Database updates.
Reporting:
* Support the delivery and development of Claims Governance cyclical and ad-hoc reporting requirements.
* Gather information and contribute to the drafting and development of monthly and quarterly reports.
* Review MI prepared off-shore, such as B&I reporting and central Log maintenance.
Audit Activity:
* Assist with internal and external audit and review activities.
* Support Claims QA, Internal Audit, Compliance, Financial Compliance, Risk Management, and external review requirements.
* Manage relationships with reviewers and assist with issue and control deficiency remediation.
Claims Team Support and Training:
* Establish supportive working relationships with Claims teams across the region.
* Support Claims Governance training identification, development, and delivery to EMEA Claims teams.
Claims Governance Representation:
* Attend and contribute to key governance, compliance, risk, and conduct meetings.
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