Claims Relationship Manager

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HR à la carte

📍Remote - Worldwide

Job highlights

Summary

Join South Western Insurance Group Limited (SWG) as a Claims Relationship Manager! This full-time, remote position offers flexible hours and involves managing customer inquiries, collaborating with internal and external teams, and supporting claims management. You will report to the CFO and COO, contributing to product and underwriting guideline development, analyzing claims results, and working with consultants to improve performance. SWG provides a competitive compensation package, comprehensive health benefits, RRSP matching, and support for continuing education. The ideal candidate possesses 5-7 years of claims handling experience, understands Lloyd's of London and domestic insurer processes, and demonstrates strong analytical and communication skills.

Requirements

  • Bachelor's degree preferred
  • 5-7 years claims handling experience
  • Understanding of Lloyd’s of London and Domestic Insures processes and practices
  • Strong investigative and analytical skills
  • Basic understanding of audit process
  • Excellent communications skills
  • Initiative – being proactive in suggesting solutions to internal or external associates to improve process
  • Technical Experience – the ability to provide direction and review to assure that files meet client Key Performance Indicator (KPI) standards
  • Problem Solving – the ability to look at situations, analyze data, workflows and barriers to creatively provide solutions that meet the needs of internal and external stakeholders
  • Strong commitment to ongoing education and learning

Responsibilities

  • Advocate and steward SWG claims strategy across all managed entities
  • Liaise with third party administrators (TPAs), London brokers and domestic insurer contacts on claims
  • Assist with complaints handling including Lloyd’s, domestics, retail brokers & customers
  • Work with claim examiners and insurers to facilitate communication between underwriters & management
  • Perform ongoing support and subject matter expertise on claims file handling, strategy, action planning and resolution
  • Provide claims expertise for product and underwriting guidelines development
  • Implement and uphold best practices, process improvements, and measures to ensure compliance with regulatory and contractual standards
  • Review and analyze SWG claims results and work with SWG external consultants to come up with performance improvement plans
  • Liaise with underwriters and management on claims inquiries
  • Evaluate claims handling alternatives (TPA, vs. in-house, or a combination)
  • Work with IT to develop claims dashboards with KPIs and analytics
  • Special projects and other duties

Benefits

  • Flexible work hours with work-from-home opportunity (100% remote)
  • A competitive compensation package
  • Comprehensive Health Benefits (SWG pays for most premiums) + RRSP matching
  • Support of continuing education training and programs

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