Senior Delegated Claims Examiner

Overview

Sompo Manchester, United Kingdom

Senior Delegated Claims Examiner role s position involves managing a portfolio of delegated claims arrangements, including onboarding, oversight, and operational performance, ensuring compliance with Sompo standards and local regulatory requirements, managing run-off portfolios, and facilitating the transition of claims handling to new arrangements.

• 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

• 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

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

We are 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, visit our website at

• Mid-Senior level

• Full-time

• Finance and Sales

• Insurance