Delegated Claims Specialist

and for the processes, reporting and supervision of delegated claims arrangements.
• Oversees the vendor management process within the International Claims department and works with the wider company framework to align vendor management processes and implement vendor management best practices in selection, oversight, cost control and performance of vendors. This includes lawyers, loss adjusters, and recovery / subrogation vendors.
• Assists the Head of International Claims with management reporting and either attend or deputize on relevant internal committees (inc. Delegated Underwriting and Claims Committee).
• Oversees the implementation and ongoing management of delegated claims processes, best practices, strategies and guidelines to facilitate and support customer service excellence and coordination within the organization. Works with Compliance and Claims Managers to set practices and procedures to ensure compliance to all local regulatory and legal requirements appertaining to delegated claims.
• Continually reviews industry regulations and best practices appertaining to delegated claims.
• Ensures completeness and accuracy of claims bordereaux data and works with Claims Operations to ensure data capture is complete and accurate and data governance complied with. Supports bordereaux data collection for Solvency II reporting.
• Oversees compliance/implementation of all internal policies as they relate to the delegated claims function.
• Rolls out KPIs and key metrics requirements to all TPAs and Coverholders and ensures that these are monitored and met. Where KPIs/key metrics are not being met, is responsible for setting and delivering on action plans to address performance.
• Manages the TPA audit plan, provides budget projections for TPA audit spends and actively manages any assigned budget and spending. Follows up on audit actions until resolution.
• Ensures that TPA agreements are in place as appropriate. Reviews slips for claims arrangements as appropriate.
• Manages loss funds and Faster Claims Payment (FCP) processes.
• Supports the wider Claims Operations team as and when required.
• Ensures that all The Hartford policies and procedures appertaining to delegated claims are complied with.
• Adheres to any common standards set across the company and ensures that policies and procedures are adequately documented.
• Undertakes continued professional development.
• The job description is intended to describe the main duties only. Job holders are expected to maintain flexibility and perform all other reasonable duties that relate to the job as assigned by The Hartford.

Qualifications and Capabilities
• Claims experience, with a preference for knowledge of delegated claims practices and/or shared claims services.
• Knowledge of the legal, regulatory and claims environments, with particular focus on the London Market delegated claims environment.
• Proven ability to work within and efficiently adapt to changing regulatory requirements.
• Operational understanding of the London Market and Lloyd's practices/procedures, including relevant systems (ECF, Gemini, DAM etc.).
• Understanding of best practices in delegated claims handling, process, efficiency, and the use of advanced systems and technology.
• Good presentation skills.
• Excellent communication skills - including the ability to effectively influence internal and external stakeholders.
• Commitment to cultivating and propagating The Hartford's culture and claims brand.
• Demonstrated ability to work effectively both independently and within a collaborative team-oriented environment.
• Ability to work well under deadlines in a changing environment, and to perform multiple tasks effectively and concurrently.
• Demonstrated ability to manage relationships with internal and external customers.
• Sound judgment in decision-making.
• Detail-oriented.

Educational Requirements
• Reasonable educational standard, at least to A Level standard.
• Preference for further insurance-related qualifications.

About Us | Culture & Employee Insights | Diversity, Equity and Inclusion