I’m partnering exclusively with an international specialty insurer that is building out its claims function in Dublin. They’re hiring a Claims Operations Lead into a newly created, senior role, reporting directly to the Chief Claims Officer.
The role:
Claims intake and workflow
- Oversee FNOL intake, registration, acknowledgment and assignment
- Monitor SLAs, queues, unallocated work and backlogs, and elevate issues early
- Coordinate and prioritise work across the Claims Assistant team
Data quality and controls
- Audit claim files and system data, and fix the gaps you find
- Maintain the controls and documentation that support governance, regulation and audit
Reporting and analytics
- Produce claims MI and build dashboards covering FNOL volumes, acknowledgment times, SLA performance, open and closed inventories, ageing, backlogs, and activity by line of business
- Spot trends and report to claims leadership
- Support insurer, reinsurer and broker reporting, including bordereaux
Process improvement and claims technology
- Simplify, standardise and automate claims processes
- Document workflows, procedures and operating standards
- Work with system providers on enhancements, testing and implementation of new claims technology, and support data migration between platforms
Governance and compliance
- Keep claims operating procedures current and monitor compliance with them
- Support internal and external audits and carry through corrective actions
- Support regulatory, contractual and delegated-authority requirements
Stakeholders
- Work closely with Underwriting, Finance, Operations and Technology
What you’ll bring
- Experience in insurance, reinsurance, claims operations or insurance operations
- A strong understanding of claims administration and the claims lifecycle
- Hands-on experience with claims management systems and operational workflows
- Experience producing MI, reports and dashboards, with strong Excel and data skills
- A sharp eye for detail and data accuracy in a high-volume environment
- A practical problem-solver who communicates clearly with claims professionals, senior management and external partners
First interviews are planned for early November.