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Technical Claims Manager

Pro Global

Greater London

Hybrid

GBP 50,000 - 90,000

Full time

11 days ago

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Job summary

An established industry player is seeking a Technical Claims Manager to lead their Legacy claims team. This pivotal role involves managing high-value, complex claims while driving technical excellence and developing innovative strategies to enhance client value. The ideal candidate will possess extensive experience in managing EL/PL Legacy Claims and a deep understanding of legal concepts. This position offers the opportunity to work flexibly across various UK locations, fostering a culture of quality assurance and continuous improvement. If you're passionate about claims management and eager to make a significant impact, this role is for you.

Qualifications

  • 10+ years managing complex EL/PL Legacy Claims.
  • Strong grasp of legal concepts and quality assurance practices.

Responsibilities

  • Drive technical excellence and manage high-value legacy claims.
  • Develop data-driven strategies to enhance claims performance.

Skills

Management of EL/PL Legacy Claims
Legal Concepts Understanding
Policy Interpretation
Stakeholder Relationship Management
Quality Assurance
Coaching/Mentoring Skills
Time Management
Adaptability to Change

Job description

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Pro currently has an exciting opportunity for a Technical Claims Manager to join our Legacy claims team on a permanent basis. As a technical lead this role will be to drive the technical excellence of the team and be involved in the formulation and delivery of Pro’s Value-Add proposition to clients.

Pro currently has UK office locations in London, Glasgow, Gloucester, Horsham and Liverpool and operates a flexible working policy with regard to location and remote working. The post holder may be required to travel between these locations when necessary.

Responsibilities

Reporting to the Head of Strategy, the Technical Claims Manager will manage a reduced caseload which shall encompass some of the highest value and technically complex/strategic legacy claims and include the following responsibilities:

  • Technical claims performance of the team
  • Identifying targeted Technical Claims Value-Add strategies, and through a data-led approach work to quantity and measure the success of those with a view to bringing forward recommendations to the Head of Strategy to agree same with clients
  • Delivery of agreed targeted Technical Claims Value-Add strategies
  • Working with Specialist Claims Analyst, to develop data points and reports to monitor and measure Pro’s Value-Add Proposition
  • Driving a culture of excellence and technical performance of the team through quality assurance, controls, structured training and regular coaching and feedback
  • Owner of the Quality Assurance and Quality Control function on the team
  • Working with Senior Claims Technician’s to ensure all QA/QC is carried out, on time, to the required standard and Technical PDP’s are in place for all members of the team
  • Provide technical advice and guidance to internal colleagues and act as a referral point (first and second-line referrals from the team) to include Trial Reviews/Complex or High Value Referrals (exceeding the license limits on the team)
  • Contribute to periodic PR campaigns e.g., thought leadership articles, blogs, website contact etc.
  • Contribute to and manage projects relevant to the team, specifically in respect of Pro’s wider claims proposition
  • Support business development initiatives (as is required) and participate as Claims SME in appropriate business development activity
  • Review and provide analysis and commentary to both routine MI and ad hoc presentations to support delivery of value to clients
  • Ensure Pro is represented at relevant market forums, working parties and our clients’ interests are represented in any relevant consultations
  • Contribute to PLF Audit and supplier Quality Control framework
  • In regard to caseload work the job holder will need to Liaise with solicitors and brokers, maintain accurate records for auditing and regulatory purposes, identifying potential fraud and provide technical advice and guidance to external clients

Experience and skills

  • At least 10-years’ experience of managing EL/PL Legacy Claims including, but not limited to, NID, HAVs and Pleural Plaques claims is essential
  • Demonstrated ability to manage Legacy Claims with highly developed understanding of legal concepts such as Duty, Breach, Causation and Limitation with a demonstrated capability to assess Quantum and Apportionment
  • Experience of other claim types a distinct advantage
  • Good Policy interpretation skills
  • Ability to work towards Service Level Agreements
  • Effective communication and key stakeholder relationship management skills
  • Knowledge of claims handling, quality assurance, fraud and impacting legislation at a level which enables the provision of strategic decision making and direction
  • A professional individual who is able to communicate with a variety of customers and experience with high value/profile claims handling
  • Ability to work in a pressurised environment and effective time management with the ability to meet deadlines.
  • Coaching/mentoring skills
  • Adaptable to change
  • Experience of policy interpretation, quality assurance, fraud and impacting legislation at a level which enables the provision of strategic decision-making and guidance.
  • Knowledge of the legal system, England & Wales is essential, to include the CPR and relevant pre-action protocols.
  • Knowledge of the legal systems in Scotland and/or Northern Ireland is a distinct advantage.

By submitting your personal data to Pro Insurance and by using our website, you give your consent that all personal data you submit as part of your application may be processed by us in the manner and for the purposes described in our HR applicant privacy policy. For further information, please refer to our Data Protection Policy, a copy of which can be requested from Pro HR.

Seniority level
  • Seniority level
    Mid-Senior level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    General Business
  • Industries
    Insurance

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