高级海事理赔审核员

Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for a Senior Marine Claims Examiner in our Aviation & Marine Claims Department for our Marine Freight Forwarding Liability/Logistics and Cargo Line of business. Our Marine Claims team services a diverse range of UK and international business. We work through a network of brokers and directly with clients to tailor solutions to the needs of our customer base. We are committed to delivering good, fair and appropriate outcomes for our customers; efficient service, timely responses and fast payment of covered claims – this is our promise, our ease of expertise. The role requires the accurate and timely evaluation and processing of claims estimates and paid claims in accordance with policy terms and conditions, to ensure the delivery of the required level of service and fulfilment of the company’s contractual obligations at all times. It also includes using analytics and insights to drive continuous improvement in the use of TPAs and Location: This position will be based out of our Manchester office. The candidate will be required to report into and travel, as and when required, to Head Office in London. We strive for collaboration, which is why we offer a work environment where our employees thrive and develop long-lasting careers. Our business, your impact, our opportunity: What you’ll be doing: What you’ll be doing: Taking responsibility for a caseload of large and complex, multi-jurisdictional Freight Fowarding/Logistics and Marine Cargo claims. Reviewing and dealing with complex, National and International coverage matters and multi-contractual engagement. Maintaining operational and technical oversight of key outsource arrangements. Ensuring accuracy of financial recording and reporting under referral to management. Acting as a key contact for internal and external stakeholders. Attending internal claim meetings, market meetings and seminars and representing the company as and when required. Managing relationships with service providers, including TPAs, outsource providers and panel lawyers Surveyors, recovery agents and loss adjusters. What you’ll bring: A strong work ethic, high standards for performance and accountability for your output. Excellent UK and multi-jurisdictional technical claims handling experience. Enthusiasm for developing and training team members and supporting their career progression. Honest and ethical conduct at all times. Established experience of Regional Freight Forwarding Liability and Logistics Market knowledge, processes and procedures. London Market experience beneficial. Key Result Areas 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 Key Performance Indicators Benchmarking of delivery to plan objectives Management team feedback Alignment, and engagement of team to tactical goals Relevancy, accuracy and timeliness of contribution/advice Priorities aligned to tactical and wider strategic plans Insights drive performance improvement Risk mitigation & avoidance Policy, Process and Procedures 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 Key Performance Indicators High quality documentation/training material produced, with appropriate rationale Claims leakage within agreed tolerance Positive feedback from internal customers Satisfactory results from internal Claims audit and other, indirect financial benefits, such as efficient, cost effective use of internal and external resources and services All appropriate recoveries successfully pursued Environmental Awareness / Customer Focus 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 Key Performance Indicators Legal compliance Positive stakeholder feedback. Risk mitigation and avoidance Open and regular communication. Achievement of objectives. Quality response service provided. Positive feedback from clients, brokers, internal customers and management Relevant and accurate information and reports Technical Performance 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 Claims Manager: Marine & Aviation. Key Performance Indicators Quality, accurate information made available to Underwriters and external and internal customers Satisfactory audit from internal claims audit Leakage within agreed tolerance Claims reserves entered and coverage issues managed in accordance with Company claims philosophy Appropriate use of experts Management of static/slow moving claims Specific accountabilities assigned to the role of Senior Claims Adjuster within the claims function: 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 produc