Claims Operations Manager

Posted 2 hours 4 minutes ago by HFG

Permanent
Full Time
Insurance & Superannuation
London, United Kingdom
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.