Claims Governance & Quality Assurance Specialist

Sompo; Köln; Vor Ort; EUR 70.000 - 90.000; Vollzeit

Benefits dieser Stelle

Health & Wellness Benefits

Retirement & Savings Plans

Global Parental Leave & Adoption Assistance

Employee Assistance Program

Tuition Reimbursement & Professional Qualification Benefits

Zusammenfassung

Sompo is seeking a Claims Governance & Quality Assurance Specialist in Köln. This role involves quality assurance reviews of claims, adherence to J-SOX controls, and generating KPI reports. A successful candidate will have over 10 years' experience in claims, familiarity with audit processes, and strong analytical skills. Preferred qualifications include a university degree in a related field and fluency in English plus another European language. The company offers health benefits, retirement plans, and tuition reimbursement.

Qualifikationen

• 10+ years of experience in insurance claims or related function.
• Experience in a multi-jurisdictional claims environment preferred.
• Familiarity with J-SOX and internal controls frameworks is an advantage.

Aufgaben

• Conduct independent QA reviews of claim files.
• Coordinate J-SOX controls related to claims processes.
• Produce claims KPI dashboards and management reports.

Kenntnisse

Analytical mindset

Communication skills

Attention to detail

Organizational skills

Problem-solving skills

Proficiency in Excel

Experience with data analytics

Ausbildung

University degree in Law, Insurance, Risk Management, Business Administration

Tools

Excel

Power BI

Jobbeschreibung

Sompo International is seeking a Claims Governance & Quality Assurance Specialist to join our Continental Europe Claims team. As part of our expanding organisation, this role reports to the Head of Claims, Continental Europe, and plays a key part in strengthening our governance framework, enhancing claims quality, and supporting the profitable growth strategy of Sompo International in the region. The position spans multiple countries and requires close collaboration with local claims teams, Compliance, Finance, ERM & Operational Risk, and senior management. The role also acts as a key interface with Internal Audit, which oversees the J‑SOX framework, and with the ERM & Operational Risk team, which manages RCSAs, incident/event reporting, and thematic reviews of material operational risk areas.

Location: This position will be based in one of our European Offices, preferably in Paris.

What you’ll be doing:

• Quality Assurance
• Conduct independent QA reviews of claim files across lines of business and jurisdictions.
• Identify trends, control gaps, and improvement opportunities for our claims handling.
• Provide structured feedback to claims teams and support remediation plans.
• Maintain and enhance QA frameworks, scoring methodologies, and reporting tools.
• Monitor claims leakage indicators and support initiatives to reduce leakage.
• Claims Governance & Risk Controls
• Coordinate and monitor J‑SOX controls related to claims processes.
• Ensure compliance with regulatory requirements across the Continental Europe region.
• Support fraud detection and prevention activities, including case triage, escalation, and follow‑up.
• Ensure compliance with sanctions screening requirements and related controls.
• Support Compliance in managing claims‑related complaints, including tracking, root‑cause analysis, and reporting.
• Maintain governance documentation and act as primary contact for Internal Audit on J‑SOX testing and audit reviews.
• Ensure timely delivery of control evidence, audit responses, and remediation actions.
• Reporting & Data Analytics
• Produce regular and ad‑hoc claims KPI dashboards and management reports.
• Analyse trends in claims performance, leakage, cycle times, QA outcomes, and operational risk events.
• Translate claims data into actionable insights for senior management and cross‑functional stakeholders.
• Support regulatory reporting and internal governance reporting requirements.
• Guidelines, Processes & Best Practices
• Draft, update, and improve claims guidelines, procedures, and best‑practice documents.
• Ensure alignment with regulatory requirements, internal standards, and market practices.
• Support training, communication, and change‑management efforts to embed new processes across countries.
• Contribute to continuous improvement initiatives within the Claims function.

Experience & Qualifications

• 10+ years of experience in insurance claims, claims governance, quality assurance, operational risk, internal audit, or a related function within a corporate insurance or reinsurance environment.
• Experience working in a multinational or multi‑jurisdictional claims environment is strongly preferred.
• Familiarity with J‑SOX, internal controls frameworks, or audit processes is a strong advantage.
• Experience with data analytics, KPI reporting, or claims performance monitoring is desirable.
• Exposure to P&C commercial lines (Property, Casualty, Specialty) is a plus.

Skills & Competencies

• Strong analytical mindset with the ability to interpret data and identify trends.
• Excellent communication skills, able to provide constructive feedback and influence stakeholders.
• High attention to detail and strong organisational skills.
• Ability to work independently while collaborating effectively across teams and countries.
• Strong problem‑solving skills and a continuous‑improvement mindset.
• Proficiency in Excel, Power BI, or other data‑visualisation tools is an asset.

Education & Qualifications

• University degree in Law, Insurance, Risk Management, Business Administration, or a related field.

Languages

• Fluent English is required.
• Fluency in at least one additional European language (French, Spanish, Italian, or German) is strongly preferred.

Benefits

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

At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. 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. If you need an accommodation for any part of the application process, please contact the recruiter in charge.