Claims Manager
The Emerald Group Ltd, Search and Selection ·
Role: Claims Manager – Delegated Authority Location: London Purpose: Oversee an international portfolio of delegated authority claims, providing technical leadership, performance oversight, governance and strategic direction across MGA/TPA relationships.
Key Responsibilities
Oversee referral claims, coverage decisions, reserving and authority controls. Provide technical guidance on complex and high-value claims, including fraud-related matters. Manage MGA and TPA relationships, monitoring performance against MI, KPIs and SLAs.
Lead regular performance reviews and identify trends, risks and improvement opportunities. Oversee claims audits, due diligence, peer reviews and thematic reviews. Track audit findings and drive remediation and continuous improvement.
Use claims data and analytics to generate insight and support executive reporting. Champion data visualisation, automation and AI-driven claims improvements. Support onboarding, portfolio restructuring, transitions and run-off planning.
Work closely with Underwriting, Risk, Compliance and Operations to ensure strong governance and customer outcomes. Skills MGA/Delegated Authoritypreferred. Strong analytical skills and experience interpreting MI and performance data.
Understanding of claims governance, audits and regulatory requirements. Commercially minded with the ability to challenge and influence stakeholders. Strong communication skills with confidence presenting to senior audiences.
International portfolio experience, Power BI, and exposure to AI/automation advantageous. Key Attributes: Data-driven, commercially aware and comfortable operating at both technical and portfolio level. Curious, adaptable and forward-thinking, with an interest in technology and modern claims oversight. Strong focus on customer outcomes, conduct risk and continuous improvement.