Technical Claims Manager

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 Pros ValueAdd 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 asbestosrelated disease and other respiratory claims and include the following responsibilities:

• Technical claims performance of the team
• Identifying targeted Technical Claims ValueAdd strategies and through a dataled 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 ValueAdd strategies
• Working with Specialist Claims Analyst to develop data points and reports to monitor and measure Pros ValueAdd 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 Technicians to ensure all QA/QC is carried out on time to the required standard and Technical PDPs 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 secondline 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 Pros 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 10years 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 decisionmaking and guidance.
• Knowledge of the legal system England & Wales is essential to include the CPR and relevant preaction protocols.
• Knowledge of the legal systems in Scotland and/or Northern Ireland is a distinct advantage.

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Pro is a specialist outsourcing and consulting company focused solely on the insurance and reinsurance industries.

We work with clients to identify changes needed to improve their business processes minimise operating overheads and implement the controls required to meet new regulations delivering tailored solutions to meet clients needs.

Our UK offices are in Gloucester Glasgow Liverpool Horsham and central London. We are also a global company with offices in the United States Cologne and Unna (Germany) and Argentina. We also operate a hybrid working model so you can work at home and in the office.

We provide expert support in the areas of underwriting claims management financial and technical accounting and risk and auditing utilising the best technology available on the market and adopting a proactive approach.