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MAMarkel Insurance SE

Senior Claims Governance & Oversight Manager(m/w/x)

München, Köln
Full-timeOn-siteSenior

Oversight of delegated handling processes for insurance coverholders and TPAs. Extensive delegated handling operations and regulatory oversight experience required. Global operations exposure.

Requirements

  • Extensive experience in a claim’s operational environment or equivalent
  • Knowledge of the regulatory environment for claims management and oversight
  • Familiarity with due diligence, performance management and audit requirements for outsourcing claims handling to third parties
  • Ability to build, maintain and influence relationships across an organisation
  • Experience in managing projects and delivering change initiatives
  • Strong Microsoft Office, specifically Microsoft Excel, and IT savvy
  • Aptitude and willingness to learn in-house and external claims systems
  • Excellent written and verbal communication skills
  • Fluency in English essential; knowledge of German, Dutch or Spanish an advantage
  • Positive mind-set and people-oriented work ethic
  • Legal right to live and work in the country of application
  • Consideration for flexible working patterns

Tasks

  • Review the delegated claims handling process
  • Conduct due diligence on coverholders and TPAs
  • Evaluate performance against SLAs
  • Produce delegated reports
  • Oversee the annual audit schedule
  • Manage the delegated claims handling process
  • Recommend process changes post-review
  • Review the Expert Panel process
  • Collaborate with Claims Divisional Heads and Legal
  • Implement changes for the Expert Panel's effectiveness
  • Ensure required TOBAs are in place
  • Oversee the Claims peer review process
  • Complete a sample of peer reviews
  • Collate and analyze peer review data
  • Work with Claims Divisional Heads to ensure timely submissions
  • Identify deficiencies and report improvements
  • Oversee the Claims Handling Manual
  • Collect feedback from the claims team for improvements
  • Manage the Claims Authority process
  • Streamline and enhance the Claims Authority process
  • Participate in market working groups for regulatory updates
  • Report on market initiatives and their impact
  • Manage Claims change initiatives
  • Recommend and deliver system upgrades and enhancements

Work Experience

  • approx. 4 - 6 years

Education

  • Bachelor's degreeOR
  • Master's degree

Languages

  • EnglishBusiness Fluent
  • GermanBasic
  • DutchBasic
  • SpanishBasic

Tools & Technologies

  • Microsoft Office
  • Microsoft Excel

Benefits

Competitive Pay

  • Competitive package

Additional Allowances

  • Additional local benefits

Modern Office

  • Modern office environment
Find the original job posting in its most current version here. Nejo automatically captured this job from the website of Markel Insurance SE and processed the information on Nejo with the help of AI for you. Despite careful analysis, some information may be incomplete or inaccurate. Please always verify all details in the original posting! Content and copyrights of the original posting belong to the advertising company.

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