Job Description
To assist the Claims Operations and Claims team with all aspects of the Claims Operations function. Providing a superior level of operational support to the Claims team to ensure it is able to deliver an exceptional standard of claims performance and service whilst meeting its regulatory and compliance requirements.
Responsibilities
- Assist with regular reporting including international claims reporting packs and reports at month end, production of quarterly board pack for review by Claims Operations Manager. Assist the Claims team and external departments (Finance, Actuarial, Underwriting etc) with ad hoc data requests and analysis.
- Assist with managing the outsourcing of claims administrative work to an offshore process provider, perform regular peer review of their work, escalating any concerns to the Claims Operations Manager. Dealing with any queries in the first instance before referral to a manager. Working with Claims Operations team to identify and scope further processes that can be handed over. Updating statement of work and drafting service level agreements.
- Compliance / Audit. Provide timely support to auditors (internal and external) and assist with evidence gathering when required.
- Lloyd’s reporting requirements. Assist with timely production of all data requests from Lloyd’s to include Cat reporting by state and Solvency 2 reporting. Using data from Lloyd’s CRS system in conjunctions with output from binder management tool and internal claims systems.
- Provide cover to the Claims Operations team in all aspects of claims month end sign off. To include ensuring all SCM and USM messages have been posted, claims data reconciled to finance and all Claims Managers have signed off on their classes.
- Provide assistance to the DA team. Assisting with administration tasks relating to new/renewal TPA contracts and audits.
Qualifications
Role requirements:
- Experience with and working knowledge of claims systems and reporting tools
- Intermediate/Advanced Microsoft Excel skills – Pivot tables, vlookups, advanced formula essential
- Microsoft Word and Outlook
- ECF/IMR experience
- Previous experience of analysing Lloyd’s CRS data would be beneficial
- Ability to solve problems and make decisions
- Excellent organisational skills
- Knowledge and understanding of claims life cycle and related workflows.
- Self-starter who is results orientated
- Adept at managing multiple competing priorities
- Ability to anticipate problems/issues prior to their occurrence
- Strong verbal and written communication skills
- Ability to develop excellent working relationships with a variety of internal and external stakeholders
Required Skills
Claims Case Management
Claims Management System
Claims Policies and Procedures
Claims Resolution
Claims Review
Data Analysis and Reporting
File Management
Operations Management
Technical Documentation
EQUAL OPPORTUNITY EMPLOYER
United States: Westfield celebrates diversity and is committed to inclusion. All qualified applicants receive consideration for employment without regard to race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, or status as a protected veteran.
United Kingdom: Westfield is committed to equality of opportunity for all staff and applications from individuals are encouraged regardless of age, disability, sex, gender reassignment, sexual orientation, pregnancy and maternity, race, religion or belief and marriage and civil partnerships.
