Insurance Claims Operations Technician

The role

The team deliver Claims operational services as well as Premium processing for outsourced MGA’s.

Working within Client Services to supply a proactive and flexible service whilst driving best practice and ensuring compliance with all company procedures. This includes meeting agreed service and data quality standards, both internal and external.

Key accountabilities

• Validate and accurately enter data into company systems to enable precise reporting on the nature and financial impact of the claims portfolio
• Monitor the claims portal system and liaise with the Technical claims team to action as appropriate to ensure portal compliance
• Mange the receipt, registration, acknowledgment and allocation of claims notifications
• Process claims payments, reserve adjustments, and other financial movements in accordance with internal standards and authorisation levels using multiple internal and external systems
• Captive and funded recovery management. Identify and apply protocols to report and recover for all accounts requiring funding
• Reconciliations of claim and premium movements
• Reconciliation of claim payments and reserves on multinational inter-company accounts
• Cashflow management of large payments and outsourced escrow funds
• Distribution of monthly MI reports and liaising with other business units and external providers to resolve queries as necessary
• Creating and updating operational process manuals and other procedure documentation
• Assist with the documentation, maintenance and monitoring of compliance and governance initiatives
• Support the Technical claims teams to review SLA compliance and internal and external audit requirements
• Actively participate in projects or other initiatives designed to improve the effectiveness and efficiency of the claims operations team
• Undertake any other tasks as requested by the Claims Operations Manager in order that the team achieves its objectives
• Support in keeping intranet and website up to date
• Produce regular and ad hoc operations and KPI reports, extracting data from internal systems

Skills & experience

• Accuracy and attention to details
• Competent user of Excel & Word / Good user of Excel & Word
• Good communication, (written and oral), and interpersonal skills; comfortable with phone & face to face discussions with underwriters & other technical colleagues
• People management and motivation skills
• Able to organise own workload effectively to meet service standards
• Deadline focused; able to work under pressure to meet tight deadlines
• Good systems knowledge, experience of using systems to evaluate data
• Good understanding of insurance and the terminologies used.
• Good analytical and problem solving skills.
• A Level or equivalent qualifications or CII qualified at certificate level/part qualified at diploma level OR 2 years’ experience in Insurance or relevant operational role
• Understand financial impact of technical data processed