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AgriSompo North America

Senior Delegated Claims Examiner

Posted 17 Days Ago
Be an Early Applicant
In-Office
3 Locations
Senior level
In-Office
3 Locations
Senior level
Manage a portfolio of delegated claims arrangements, ensuring compliance, oversight, reporting, and performance monitoring while supporting onboarding and risk assessments.
The summary above was generated by AI
As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world.  Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions.

Job Description

Are you looking for your next opportunity?

Sompo has a unique opportunity for a Senior Delegated Claims Examiner in our UK Delegated Claims team.

In this role, you’ll manage a portfolio of delegated claims arrangements, including all aspects of onboarding, oversight, and operational performance. Ensure compliance with Sompo standards and local regulatory requirements, managing run-off portfolios, and facilitating the transition of claims handling to new arrangements.  

Our business, Your impact, Shared opportunity

What you’ll be doing:

  • Leading the end-to-end onboarding process for a portfolio of delegated claims handling arrangements
  • Collaborate with delegated underwriting, legal, and compliance teams to ensure that all agreements align with internal policies and regulatory requirements
  • Support the Delegated Claims Manager in developing and implementing onboarding workflows to ensure a seamless integration of new delegated claims arrangements
  • Conduct due diligence on delegated claims arrangements
  • Establish reporting and data-sharing dashboard requirements with our delegated claims arrangements
  • For a portfolio of delegated claims arrangements, act as the primary point of contact for ongoing oversight
  • Monitor performance against agreed service levels
  • Review and analyze delegated claims data to identify trends, anomalies, or areas requiring improvement
  • Provide regular performance feedback to delegated claims arrangements and escalate significant issues to the Delegated Claims Manager
  • Support the Delegated Claims Manager in conducting a delegated claims risk assessment to determine and prioritize the annual audit schedule
  • Work closely with an external audit panel, ensuring our annual audit schedule is met
  • Facilitate pre-audit assessments with claims and our external audit panel
  • Attend audit fieldwork wrap-up meetings and ensure final reporting SLAs are met
  • Review audit reports for quality and adherence to Sompo’s delegated claims audit scope
  • Be responsible for audit Key Stakeholder management and closing audit subjectivities, collaborating with delegated claims arrangements to address identified gaps or weaknesses.  Ensure corrective actions are implemented in a timely manner
  • Maintain an up-to-date understanding of regulatory changes and their potential impact on delegated claims arrangements
  • Support the run-off of delegated claims portfolios and ensure open claims are continued to be handled efficiently and in line with company standards
  • Support the process of transferring claims handling responsibilities to a new delegated claims arrangement or in-house claims teams

What you’ll bring:

  • Extensive experience working within an insurance company or a Lloyd’s managing agent
  • Comprehensive understanding of delegated claims arrangements, regulatory compliance requirements, and conducting due diligence on MGAs and TPAs
  • Excellent written and verbal communication skills, and the ability to influence stakeholders at all levels in the organization
  • Ability to deliver outputs based on given priorities, achieving tasks within tight deadlines
  • Detail-oriented with a strong commitment to accuracy and integrity

Our Benefits

We continuously evaluate and update our benefit programs to ensure that our plans meet the needs of our employees and their dependents.  Below are a few highlights of our inclusive benefit programs:

  • Expansive Health & Wellness Benefits
  • Generous Retirement & Savings Plans
  • Global Parental Leave & Adoption Assistance

In today’s world, what do we stand for?

We strive to create exceptional value for our clients and shareholders while maintaining Sompo as an attractive place to work. We foster an environment of ongoing, open dialogue between managers and their direct reports, and believe in an organizational environment where everyone belongs. We proudly are a multi-racial, multi-cultural, global enterprise. We reject all forms of racism, bigotry, prejudice and injustice and continue to invest in building out an inclusive and diverse work environment.

About Us

Expert Partners.
Clarity in complexity.
Unwavering commitment.

We’re Sompo, a global provider of property, casualty, and specialty insurance and reinsurance. Building on Sompo Holdings’ 130 years of innovation, we’re committed to applying all of our experience to simplify yours.

Our dedication to you shows up in the care we put in every detail, working to create a frictionless risk management journey for everyone we serve.

We lead with your priorities, meticulously crafting solutions, sharing insights, and understanding your needs.

Around the world, our 9,000+ employees use their expertise to learn, improve and find clear answers for your complex challenges.

Because when you choose Sompo, you choose the ease of expertise.

To learn more about visit our website at www.sompo-intl.com

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