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About the Role

The role involves evaluating and processing claims estimates and paid claims accurately and in a timely manner, in accordance with policy terms and conditions, to ensure the appropriate level of service is delivered and the company’s contractual obligations are met at all times. It also requires the use of analytics and insights to drive continuous improvement in the use of TPAs and third-party experts. The role holder is expected to ensure that our Sompo Values are consistently reflected in the delivery and performance of the role.

Responsibilities

Contribute to, monitors and advises on the plan developments and changes in order to ensure relevancy, compliance and optimal delivery
Assist in the preparation and implementation of the operational team plans to ensure these are in line with wider business strategy and reflect key priorities.
Determine own work priorities and activities in line with agreed plans to ensure the achievement of the function’s objectives.
Partner with colleagues to perform data analysis work and provide valuable insights that improve claims performance
Support the implementation of the Claims strategy to enable delivery of overall business targets
Investigate and resolve complex Claims of a specialist nature in a professional manner in order to provide excellent Claims handling service with minimal leakage
Proactively manage estimates and billings calculated by clients and brokers resolving any discrepancies in a timely manner
Identify and investigate coverage issues so as to ensure that the company’s liability is in line with its contractual commitments and to communicate with relevant stakeholders
Identify subrogation, contribution and other recovery issues and ensure that these are successfully pursued where appropriate
Manage disputed Claims and other material Claims issues in order to resolve and settle claims on an economic basis
Ensure Claims files are compiled and maintained in a logical and accessible manner and that coverage and/or other Claims issues are clearly documented at all times
Ensure awareness of and compliance with regulatory and legislative requirements
Support the development of relationships with internal and external customers to enable the Claims function to fully support their needs
Support the development of relationships with the Underwriters to enable the Claims function to support the needs of other areas within the business
Ensure that Claims billings and advices are responded to within agreed timeframes to provide a professional service to brokers, and clients
Ensure that base premiums have been received a before making Claim payments
Where appropriate, ensure reinstatement premiums have been correctly calculated when making Claim payments
Respond to internal and external stakeholder requests in accordance with service standards
Support the claims management and claims operations colleagues in the production of Management Information reports
Produce regular statistical and analytical Claims information to Claims Leadership, Risk Managers and Senior Management to enable effective monitoring of Claims
Develop/maintain sufficient knowledge of Claims portfolio, so as to ensure delivery of accurate information to Underwriters and management when requested
Ensure accurate and timely update of the company’s systems as and when required
Act as a referral point to other members of the Claims team on specific tasks or in the absence of the Professional Indemnity & Management Liability Claims Manager or Professional Indemnity & Management Liability Technical Lead.
Management of complex and disputed claims matters, including in-depth claims analysis and trends to provide expert guidance and/or opinion to the Portfolio Head and other internal stakeholders, as required.
Developing good, constructive working relationships with the claims leadership team, wider claims team, market peers and wider Aspen business units
Engagement and delivery of claims projects, where required.
Lead continuous improvement initiatives via process and/or technology change – that will enhance quality of communication and collaboration across Aspen.
Provide mentoring and career development to colleagues to strengthen their capabilities, build functional expertise and foster a collaborative, values-driven team culture of high standards, strong productivity, and innovation.
Elevate claims talent to develop and share knowledge with the intention of enhancing both technical (e.g. data analysis and critical judgement) and non-technical (relationship management) skills.

Requirements

Extensive and relevant knowledge of technical claims handling in a claims function, operating in a highly regulated environment.
Strong understanding of delegated and third-party claims management from a technical, commercial, and operational perspective.
Recognised qualification(s) and/or good practical knowledge of the insurance regulatory framework
Relevant commercial experience of the general insurance industry and claims trends to be able to provide expert advice and opinion where required.

Skills

Strong interpersonal and communication skills.
Good organisational skills.
Able to work independently.
Proficient in MS Office applications; Word, Excel and Powerpoint.
Able to manage conflicting priorities to achieve deadlines.
Ability to plan effectively and efficiently.
Strong customer orientation skills.
Ability to collaborate effectively within a team environment.
Strong attention to detail.
Strong Investigative skills
Negotiation skills
Able to produce MI and detailed reports at various levels
Independent challenger - ability to innovate and challenge, utilising consultative questioning, current norms to drive change within the claims function, and work with people of varying backgrounds and organisational levels
Knowledgeable practitioner – deals confidently with uncertainty, leans into difficult conversations while lowering the pressure of resistance
Strong problem-solving skills with the ability to think, influence and act strategically
Effective communicator – structures insights into clear messages and effectively engages others within claims function, as well as internal stakeholders, professional and regulatory bodies
Change agent – leverages a skilful understanding of persuasion and influence, knowing which techniques to deploy while remaining a trusted advisor to Senior Management across the Business.

Location

London

Work Type

Onsite

Experience Level

Senior

Benefits

Health & Wellness Benefits
Retirement & Savings Plans
Global Parental Leave & Adoption Assistance
Employee Assistance Program
Tuition Reimbursement & Professional Qualification benefits

About the Company

At Sompo, our shared purpose is to create meaningful value for clients, communities, and each other. We strive to foster a workplace where everyone feels respected, included, and empowered to excel. As a global organization, we embrace diversity and champion equal opportunity. Guided by our core values—Accountability, Agility, Collaboration, Development, and Integrity—we build trust and support one another to achieve our goals worldwide.
Our values come to life in how we hire and grow talent. Employment decisions are based on qualifications, merit, and organizational need, and we strive to ensure equitable access to opportunities so everyone can do their best work.

Equal Opportunity

As a global organization, we embrace diversity and champion equal opportunity.
Employment decisions are based on qualifications, merit, and organizational need, and we strive to ensure equitable access to opportunities so everyone can do their best work.
If you need an accommodation for any part of the application process, please contact the recruiter in charge.