To provide leadership, direction and coordination of operational activities within the team. Ensuring Claims Management Information and Analysis of the team to key stakeholders and to review claims procedures to ensure legal compliance and reduce risk and manage a team of MI Officers.
Primary Responsibilities
- Support the implementation of the team strategy to enable delivery of overall business targets
- Participate in all relevant meetings in order to share and develop strategy, knowledge and best practice
- Provide recommendations on business improvement plans/strategies
- Lead projects related to business improvement.
- Create, maintain and audit claims procedures to ensure they meet legal compliance regulations
- Research and report on topics likely to impact on profitability e.g. fraud and new diseases to assist in the profitable and efficient running of the Claims function
- Continually monitor claims data, identify underlying trends and continuous improvement opportunities to provide analytical support to the Claims department
- Ensure compliance with company policies, procedures and relevant legislations
- Regularly communicate to stakeholders to ensure that service meets their requirements
- Maintain effective relationships with senior leadership team/ stakeholders
- To produce accurate concise and timely report to aid decision making
- Represent claims on project teams to ensure that claims implications are considered
- Act as a focal point within claims for data management and information to provide advice and claims expertise
- Support the claims reporting function by analyzing claims information and providing reports that enable supporting and challenging of internal and external claims handling performance and financial controls
- Develop statistical controls so that risks are reduced
- Carry out monitoring and quality assurance checks
- Assisting MI Officers with complex requests and escalations
- Communicate claims activity and answer queries to assist in the profitable and efficient running of Claims
- Analyze and interpret requests for information from various sources to define user requirements and provide effective reports
- Resolve stakeholder service issues ensuring their prompt and timely resolution to meet our service standards
- Prepare and develop technical action plans to ensure consistent performance and focused technical development of all team members
- May organize and facilitate regular staff meetings to discuss process updates
- Lead and Manage the day to day influx work of the Claims officers, directing, monitoring, controlling and authorization of the handling of reports within the control of the team.
- Assist Team Leader in supervising the team and identifying training needs to ensure that the overall output and quality of the service provided by the team is within specified levels
- Assist in providing coaching/ feedback and in managing workload of the team ensuring that tasks are prioritized
