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- Tasks: Monitor and enhance TPA claims processing performance while ensuring compliance and quality.
- Company: Join a dynamic team focused on innovative insurance solutions and exceptional client service.
- Benefits: Enjoy flexible working options, professional development opportunities, and a supportive work culture.
- Why this job: Be part of a crucial role that drives operational excellence and impacts client satisfaction.
- Qualifications: Experience in claims management, particularly with TPAs, and strong analytical skills are essential.
- Other info: Ideal for those passionate about improving processes and making a difference in the insurance industry.
The predicted salary is between 36000 - 60000 £ per year.
An exciting opportunity reporting into the Head of Claims, the successful candidate will be responsible for monitoring the performance of internal and TPA claims processing activities.
Responsibilities:
- Monitor the performance of internal and TPA claims processing activities, addressing issues or escalating to the HOC.
- Assist in defining KPIs to monitor TPA performance, supported by the business.
- Conduct due diligence on TPAs during onboarding to evaluate processing capabilities.
- Oversee operational onboarding and integration of TPAs into processes and systems.
- Perform ongoing audits to ensure TPA compliance with internal and contractual standards.
- Manage day-to-day engagement with TPAs to identify and mitigate performance issues.
- Participate in claim file reviews with the business and external audit partners.
- Support the Head of Claims in handling claims outside of Delegated Authority.
- Coordinate with reinsurer claims teams to ensure timely and accurate reporting.
- Prepare and attend quarterly TPA performance reviews, assessing KPIs, standards, audits, and client feedback.
- Ensure continuous improvement of claims activities in both operational and data quality aspects.
The Ideal Candidate:
- Practical experience managing claims, particularly with TPAs and specialist advisory companies.
- Experience in managing specialty insurance claims; other classes are a plus.
Required:
- Strong understanding of claims processes and performance indicators.
- Knowledge or experience in claims handling.
- Experience using data to manage performance and identify improvement opportunities.
- Some experience in claims audits.
- Claims handling experience is advantageous.
- Exposure to underwriting management is beneficial.
TPA Manager employer: JR United Kingdom
Contact Detail:
JR United Kingdom Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land TPA Manager
✨Tip Number 1
Familiarise yourself with the key performance indicators (KPIs) relevant to TPA claims processing. Understanding these metrics will not only help you in interviews but also demonstrate your proactive approach to managing performance.
✨Tip Number 2
Network with professionals in the insurance and claims management sectors. Engaging with industry peers can provide insights into best practices and may even lead to referrals or recommendations for the TPA Manager role.
✨Tip Number 3
Stay updated on the latest trends and regulations in claims management, especially those affecting TPAs. This knowledge will show your commitment to continuous improvement and your ability to adapt to changes in the industry.
✨Tip Number 4
Prepare to discuss specific examples from your past experience where you've successfully managed claims or improved processes. Being able to articulate your achievements will set you apart during the interview process.
We think you need these skills to ace TPA Manager
Some tips for your application 🫡
Understand the Role: Before applying, make sure to thoroughly understand the responsibilities of a TPA Manager. Familiarise yourself with claims processing activities and the importance of KPIs in monitoring performance.
Tailor Your CV: Highlight your relevant experience in managing claims, particularly with TPAs. Emphasise any practical experience you have in specialty insurance claims and your understanding of claims processes and performance indicators.
Craft a Compelling Cover Letter: In your cover letter, explain why you are a great fit for the role. Mention specific examples of how you've used data to manage performance or conducted audits in previous positions. Show your enthusiasm for continuous improvement in claims activities.
Proofread Your Application: Before submitting, carefully proofread your application materials. Check for any spelling or grammatical errors, and ensure that all information is clear and concise. A polished application reflects your attention to detail.
How to prepare for a job interview at JR United Kingdom
✨Know Your Claims Processes
Make sure you have a solid understanding of claims processes and performance indicators. Be prepared to discuss your practical experience managing claims, especially with TPAs, as this will be crucial for the role.
✨Demonstrate Data Savvy
Since the role involves using data to manage performance, come equipped with examples of how you've used data in past roles to identify improvement opportunities. This will show your analytical skills and ability to drive results.
✨Prepare for KPI Discussions
Familiarise yourself with key performance indicators relevant to TPA performance. Be ready to discuss how you would assist in defining these KPIs and how they can be monitored effectively.
✨Engagement with Stakeholders
Highlight your experience in managing day-to-day engagement with TPAs and other stakeholders. Prepare to share examples of how you've identified and mitigated performance issues in previous roles.
