Claims Governance & Quality Assurance Specialist

Sompo International Holdings Ltd.; France; Sur place; EUR 70 000 - 110 000; Plein temps

Résumé du poste

Sompo International Holdings Ltd. in France is seeking a senior Claims Governance & Quality Assurance Specialist to strengthen governance, improve claims quality and support profitable growth across Continental Europe.

Based in a European office with Paris preferred, you will coordinate with local claims teams, Compliance, Finance and ERM, lead QA reviews, monitor leakage, report KPIs and help implement best practices across multiple jurisdictions.

Qualifications

• 10+ years in insurance claims, governance, QA, risk or audit.
• Experience in multinational/multi-jurisdiction contexts preferred.
• Familiarity with J-SOX and internal controls advantageous.
• Experience with data analytics and KPI reporting desirable.
• Exposure to P&C lines is a plus.

Responsabilités

• Conduct independent QA reviews of claim files across jurisdictions.
• Identify trends, gaps, and improvement opportunities in claims handling.
• Provide structured feedback and support remediation plans.
• Maintain QA frameworks, scoring methodologies and reporting tools.
• Monitor leakage indicators and support leakage reduction initiatives.
• Coordinate J-SOX controls and regulatory requirements across Europe.
• Support fraud detection, sanctions screening and complaint management.
• Produce regular and ad-hoc KPI dashboards and management reports.
• Draft, update and improve claims guidelines, procedures, and best practices.

Connaissances

Quality Assurance

Data Analytics

J-SOX

Regulatory Compliance

Stakeholder Management

Formation

University degree in Law/Insurance

Outils

Excel

Power BI

Description du poste

Job Description

Are you looking for your next opportunity?

Sompo International is seeking a Claims Governance & Quality Asurance 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 as well as 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. 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:

• 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.

What you’ll bring:

• Experience
  • 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.

At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high‑quality compensation and benefit programs to eligible employees.

Our compensation program is built on a foundation that promotes a pay‑for‑performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full‑time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance.

We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents.

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

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.

If you need an accommodation for any part of the application process, please contact the recruiter in charge.