TPA Claims Oversight Manager
UK Visa Sponsorship Analytics
Occupation Type
Financial accounts managers
Occupation Code Skill LevelHigher Skilled
Sponsorship Salary Threshold
£44,700
(£22.92 per hour)
Occupation rate applies
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Description
This position is based at Fortegra, reporting directly to the Snr Claims Director.
The Primary Responsibilities Of The Role Include
The Primary Responsibilities Of The Role Include
- Ensuring exceptional customer satisfaction is consistently delivered by Fortegra’s TPA/MGA partners.
- Providing specialised technical claims expertise to clients and third-party administrators involved in distributing and managing general and miscellaneous non-life insurance business.
- Collaborating closely with the Snr Claims Director, as well as the Underwriting, Compliance, and Finance departments, to effectively manage and control claims costs/loss ratios within the UK and EU business units.
- Overseeing the implementation and ongoing management of claims funds with all MGA and TPA partners, maintaining clear and documented processes, ensuring timely partner payments, and conducting regular balance reviews to control funding exposure and prevent unnecessary financing.
- Overseeing Delegated Authority claims, including the identification and implementation of enhancements to the claims handling processes, aimed at improving outcomes for both customers and the business.
- Automotive extended warranty contracts, GAP insurance, Cosmetic Protection Products, Key Insurance, Mis-fueling, and Roadside Assistance.
Primary Job Functions
- Serving as a primary contact for partners on claims-related inquiries, complaints, and general claims advice.
- Supporting the Claims Director in conducting regular partner claims audits, providing detailed reports with SMART action plans to mitigate claims leakage, manage claims costs, and ensure positive customer outcomes.
- Acting as the main fraud contact for partners and coordinating with Fraud Investigator Suppliers.
- Using technical expertise to advise underwriters on product coverage levels and key amendments or additions to product terms and conditions.
- Ensuring that claims management processes align with pricing assumptions and that partners administer business in accordance with policy terms.
- Overseeing individual DA claims, providing final approvals and detailed decision rationales.
- Exhibits effective communication skills across all levels.
- Upholds exacting standards of integrity, with a proven record of trustworthiness, loyalty, and honesty.
- Collaborates effectively as a team player.
- Results-oriented, self-motivated, and accountable for actions and outcomes.
- Maintains a strong focus on client and customer satisfaction.
- Maintains a positive attitude and adapts readily to change.
- Possesses meticulous attention to detail.
- Manages time efficiently to meet critical deadlines.
- Proven experience in a Claims Operations role.
- Strong operational skills, including both business process and systems.
- Strong change management skill set including experience as a Claims SME.
Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.
Recruitment Updates
Fortegra has recently been made aware of unauthorized communications regarding career opportunities by individuals not associated with Fortegra or our recruitment team. Fortegra will only contact you from the Fortegra domain address (@fortegra.com). If you receive a message from someone posing as a Fortegra recruiter via text message, WhatsApp, Telegram or other messaging platform, please report it as phishing and block the sender.
Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you.
Fortegra is not accepting unsolicited resumes from search firms for this position.