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About the Role
To evaluate and process claims estimates and paid claims values accurately and timely, in accordance with policy terms and conditions, to provide excellent service and meet contractual obligations.
Responsibilities
- Contribute to the preparation and implementation of operational team plans.
- Determine work priorities and activities in line with agreed plans.
- Investigate and resolve Claims professionally to provide excellent Claims handling service and avoid claims leakage.
- Ensure estimates and billings are calculated correctly by clients and brokers, and Sompo’s share is also correctly calculated.
- Identify and investigate coverage issues to ensure the company’s liability aligns with contractual commitments.
- Identify subrogation, contribution, and other recovery issues and pursue them where appropriate.
- Manage disputed Claims and other material Claims issues to resolve and settle claims economically.
- Ensure Claims files/systems are compiled and maintained logically and accessibly, with clear documentation of coverage and/or other Claims issues.
- Ensure reserving is accurate at all times.
- Ensure awareness of and compliance with regulatory and legislative requirements.
- Maintain efficient handling of caseloads for prompt, timely, and effective Claims handling.
- Provide professional service to brokers and clients to uphold the Company’s reputation.
- Ensure base premiums are received before making Claim payments.
- Ensure reinstatement premiums are calculated correctly when making Claim payments.
- Respond to internal and external stakeholder requests in accordance with service standards.
- Flag complaints as required and Treat Customers Fairly.
- Produce regular statistical and analytical Claims information for monitoring.
- Develop and maintain sufficient knowledge of the Claims portfolio to provide accurate information to Underwriters and Management.
- Ensure accurate and timely update of the company’s systems.
- Deal with MI reports as required to maintain and drive down costs and leakage.
- Actively coach and develop more junior/less experienced team members.
- Develop own knowledge of standard procedures and processes.
- Act as a point of reference to guide and advise others for knowledge and best practice sharing.
- Support others in the team to assist in achieving their objectives.
Requirements
- Relevant knowledge of Claims in the appropriate area.
- Working knowledge of company systems.
- Understanding of class-specific Claims knowledge.
- Proficient in MS Office applications; Word, Excel and Powerpoint.
- ACII (equivalent) qualification or progress towards completion of insurance qualifications.
Skills
- Strong interpersonal and communication skills.
- Good organizational skills.
- Able to work independently.
- 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.
Location
- London
Work Type
- Onsite
Experience Level
- Broad experience of working in a Claims environment within a specialized/complex Claims area.
Education Level
- ACII (equivalent) qualified or progress towards completion of insurance qualifications.
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.
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.