We’re recruiting for a Claims Manager

Due to recent growth within the business we are currently recruiting for a new position. The position of MGA Claims Manager is a vital role within the business. Based from our head office in London you will have the following responsibilities and duties:

Reports to: Chief Underwriting Officer

Location: 6th Floor, 34 Lime Street, London, EC3M 7AT

Hours: 8:30am to 5pm

Salary: Dependent on Experience

Holiday: 25 Days

Job Summary: The MGA Claims Manager is responsible for the overseeing all claims across the International ( including USA) Rokstone MGA operation including day to day management of the Claims bdx and assessing best estimates for the purpose of reserving ultimate exposure to major events.

Key Responsibilities:

  • Manage all claims incurred by Rokstone to ensure claims are being handled in accordance with our Claims Philosophy, Claims Guidelines and Lloyd’s Minimum Standards (where applicable) meeting the service levels set out therein to ensure exceptional experience;
  • Handle significant and complex claims to bring them to a timely and effective resolution and take technical referral of claims above authority from the claims team;
  • Identify events impacting our Rokstone book, work with underwriters and exposure management to ascertain potentially impacted policies and calculate best estimates for the purposes of reserving our exposure;
  • Lead our Major Event Response Committee and play key role in assessing best estimates for major event across all our classes;
  • Monitor (re)insurance and other press/publications for events and Market losses;
  • Liaise with underwriters and exposure modelling team to ascertain potentially impacted policies;
  • Analyse notifications, cedants’ updates and experts reports to assess likely FGU, calculate our exposure across its participations, reinstatement premiums and outward reinsurance (in conjunction with the Outward Reinsurance team), set gross and net best estimates;
  • Ensure the appropriateness of the methodologies, data and underlying models used as well as the assumptions made for arriving at best estimates and present these in a transparent and reasoned fashion to the Head of Claims, actuaries and the Claims and Reserving Committee;
  • Maintain strong relationships with other insurer/reinsurers, brokers, solicitors and adjusters to be able to obtain claims information on Market losses and events;
  • Report to Head of Claims, Senior Management, underwriters and actuaries on events impacting the inward reinsurance book, significant claims and material developments including the completion of major event reports and monthly report;
  • Work closely with the actuarial team in its quarterly reserving process providing input into the adequacy of IBNR provisions and ultimates and the reserve reports for the Claims and Reserving Committee and Underwriting Committee;
  • Ensure the highest quality of data for use by actuaries, underwriters, the exposure management and outward reinsurance teams;
  • Prepare reports for Rokstone Board on claims movements, performance metrics and control environment;
  • Liaise with the outward reinsurance team to be fully informed as to potential recoveries and able to assist the outward RI team with the provision of information to reinsurers;
  • Communicate with Lloyd’s as necessary regarding the reliability and accuracy of best estimates;
  • Analyse claims developments on events against best estimates and exposure analysis to feedback on to the Head of Claims, Senior Management and underwriters including share of market exposure and lessons learned;
  • Be the principal claims representative for the Rokstone book, attend internal underwriting meetings and provide feedback to the Head of Claims;
  • Responsible for designing claims reports;
  • Proactively and continually seeking to identify and implement improvements to streamline the inwards reinsurance claims processes, procedures and systems to drive efficiency whilst promoting best practice and reduce the level of manual or non-value added tasks undertaken by claims handlers;
  • Coordinate peer review process for claims and implement any enhancements to the claims adjusting process following any significant findings;
  • Liaise with auditors both internal and external to assist in audits;
  • Develop, implement and maintain control framework in satisfaction of requirements
  • Any other work as may be assigned by the Head of Claims. 

Skills & abilities: 

  • Exceptional technical expertise and analytical skills
  • Strong verbal and written communication skills
  • Ability to easily manipulate data with superior Microsoft Excel skills
  • Superior ability to solve problems and make decisions with limited direction/consultation
  • Ability to manage a team of internationally based people
  • Team player who can motivate people and drive change
  • Self-starter who is results orientated
  • Ability to anticipate problems/issues prior to their occurrence
  • Ability to develop excellent working relationships with a variety of internal and external stakeholders
  • Experience in reinsurance claims systems
  • Microsoft Word, Power Point, Outlook and ECF

Knowledge and Experience 

The job requires a thorough knowledge of:

  • Exceptional technical expertise and analytical skills
  • Strong verbal and written communication skills
  • Ability to easily manipulate data with superior Microsoft Excel skills
  • Superior ability to solve problems and make decisions with limited direction/consultation
  • Ability to manage a team of internationally based people
  • Team player who can motivate people and drive change
  • Self-starter who is results orientated
  • Ability to anticipate problems/issues prior to their occurrence
  • Ability to develop excellent working relationships with a variety of internal and external stakeholders
  • Experience in reinsurance claims systems
  • Microsoft Word, Power Point, Outlook and ECF

So if you’d like to work for an award winning company that offers training to all staff, personal development and real opportunity for growth then please send your CV to Kerry Johnson – recruitment@direct-ins.co.uk. We look forward to hearing from you.

NO AGENCIES