Claims Operations Manager

HFG

Greater London

On-site

GBP 85,000 - 110,000

Full time

3 days ago
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Job summary

Lloyd's Syndicate is seeking an experienced Claims Operations Manager to lead governance, operational controls, and data-driven improvements across Claims Operations in the City of London. You will optimise processes, manage regulatory requirements, and embed risk-aware practices across the function.

In this broad role you will oversee vendor onboarding, subrogation and recoveries, audits, and performance reporting; collaborating with Claims leadership, Finance and Compliance to deliver higher

Qualifications

  • Extensive experience in claims operations and governance.
  • Experience with TPA/vendor management and outsourced service providers.
  • Knowledge of regulatory requirements and internal control frameworks.

Responsibilities

  • Develop governance frameworks across Claims Operations.
  • Maintain oversight of claims operational audits and regulatory requirements.
  • Support SOX and audit deliverables and governance obligations.
  • Lead remediation from audits and control testing.
  • Drive claims optimisation to improve efficiency and reduce leakage.
  • Lead learning initiatives to enhance technical capability and performance.
  • Build relationships with Claims leadership, Finance and Compliance.
  • Oversee subrogation, recoveries and vendor onboarding.
  • Monitor third‑party performance and ensure SLAs are met.
  • Produce MI and reporting on vendor performance, recoveries and risk.

Skills

Claims operations
Governance
Vendor management
Audits
Data & MI

Job description

New Vacancy: Claims Operations Manager
Lloyd's Syndicate
City of London

I am currently partnered with a leading Syndicate who are seeking a Claims Operations Manager to join their growing team.

This role will be a broad Claims Ops position, encompassing; Claims Optimisation, Operational Improvement, Data and MI and more. Key areas of focus for this role will be TPA/Vendor Management, Governance and Audit.

My client is looking for an experienced Claims Ops professional, ideally with Company & Syndicate experience, who can roll their sleeves up and get their hands dirty in different areas.

Key Responsibilities
  • Develop and maintain robust governance frameworks, operational controls and procedures across Claims Operations.
  • Maintain oversight of claims operational audits, regulatory requirements and internal control activities.
  • Support the delivery of SOX, internal and external audit requirements, alongside wider governance obligations.
  • Lead remediation activity arising from audits, reviews and control testing, ensuring actions are effectively addressed and embedded.
  • Drive continuous improvement and claims optimisation initiatives to improve efficiency, reduce leakage and strengthen operational controls.
  • Lead learning and development initiatives to enhance technical capability, improve performance and support talent development across Claims.
  • Build strong relationships with Claims leadership, Finance, Compliance and wider business stakeholders to support effective risk management and operational delivery.
  • Oversee subrogation and recoveries, driving the identification, referral and maximisation of recovery opportunities.
  • Oversee vendor onboarding, panel governance and delegated authority arrangements, ensuring appropriate controls and oversight are maintained.
  • Manage and monitor the performance of third-party suppliers, TPAs and outsourced service providers, ensuring agreed standards and SLAs are met.
  • Produce and analyse management information and reporting covering vendor performance, recoveries, audit outcomes, operational risk and key performance indicators.
  • Support the delivery of operational, process and technology change initiatives across Claims Operations.
  • Ensure policies, procedures and operational controls remain effective, well documented, compliant and fit for purpose.
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