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Claims Governance Controller

QBE Insurance - European Operations
Job LocationLeeds
EducationNot Mentioned
SalaryCompetitive salary
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypePermanent, full-time

Job Description

QBE’s European Operations, which accounts for over 27% of QBE Group turnover, is a leading specialist in London market and European commercial lines business. Active in both the Lloyd’s and company market, QBE offers considerable diversity to the broking community. We are a socially responsible company and give our customers the ability to invest a portion of their premiums in environmentally and socially beneficial projects.The Opportunity:The Claims team has been built to meet the evolving needs of our business and our customers. The team is a formidable force for QBE, comprising over five hundred people spread across multiple locations within UK and the rest of Europe, and reflecting the diversity and strength of the region. Handling over 200,000 claims a year, QBE has built a reputation for excellence within the market and is widely recognised for its technical expertise.We are currently recruiting for a Governance Claims Controller to directly manage and/or provide advice, mentoring, support, and consultancy for the Governance framework within EO and/or the promotion of best practice delivery in all applicable areas of EO claimsYour Responsibilities for This Role May Include, But Are Not Limited To:

  • Support the Claims teams in setting compliance policy, raising awareness and prompting effective reporting; taking a lead on quality control and performance of internal and outsourced claims management activity..
  • Support delivery of the QBE EO Governance Framework and policies in order to ensure delivery of claims excellence in line with best practice and compliance with policies. This includes overseeing claims authorities
  • Review of Claims Performance MI (insourced & outsourced) to ensure adequate oversight, risk management and trend analysis - undertake deep dives where weak performance is evident, working with Core/Complex and other LOB to ensure rectification plans deliver resolution to all issues.
  • Ensure Peer review and audit procedures are compiled with and poor performance within EO claims (insourced and outsourced) is detected and remediated, using EO’s risk management system (Inform) to promote robust risk management and oversight.
  • Identify change requirements and lead on Claims technical change management activity and output in order to optimise performance and recommend policy amendments where appropriate.
  • Support the claims management team in order to meet Regulatory frameworks and to ensure high levels of performance and adherence to standards by identifying and implementing required initiatives for example:
  • Best Practice
  • Delivery of technical projects
  • Systems optimisation:
    • - Service provider management- Communications and stakeholder management- Audit procedures
  • Claims governance and standards
  • Assist in the formulation and implementation of key Complaints objectives and priorities in relation to business, regulatory and legal requirements
  • Report breaches of authority in line with EO Claims Governance procedures and ensure QBE Risk Management system (Insight) is used appropriately at all times to maintain an open and robust risk management culture.
  • Provide superb customer service combined with Claims excellence and develop relationships to meet customer needs and ensure customer retention, including oversight of complaints and Caresmart.
  • Assist in continued development of MI, to improve control and oversight and drive improved outcomes, in conjunction with Claim Reporting, Insight and Analysis Tea
  • Build strong and trusted relationships with internal and external stakeholders to raise credibility and to develop a knowledge and understanding of business strategies, key business priorities, issues and challenges
  • Work with the Claims team to develop and implement initiatives to limit cases of fraud and minimize risks to QBE.
    • You Will Need To Be Able To Demonstrate The Following Qualities And Abilities:
  • Good understanding general insurance and FCA requirements (specifically DISP)
  • Awareness of and compliance with regulatory and legislative requirements
  • Ability to work with claims/IT systems and procedures
  • Effective communication skills, written and verbal
  • Able to influence across all levels
  • Ability to manipulate data and producing reports with ability to use MS Office applications, Word and Excel
  • Experience of working with key internal and external stakeholders
  • Relationship management and leadership skills
  • A strong team player
    • At QBE, we view our people as our most precious asset. We understand the importance of fostering a work environment that is responsive to the changing needs of todays workforce. QBE aims to build a workplace that is fair and inclusive because we want to attract and retain the best people to do the job. Were happy to talk about flexible working. Required skills
  • Audit
  • Commercial Claims
  • General Insurance
  • Governance
  • Claims Handling

    • Keyskills :
    Audit Commercial Claims General Insurance Governance Claims Handling

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