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- Tasks: Monitor and improve TPA claims processing performance while ensuring compliance and quality.
- Company: Join a dynamic team focused on enhancing claims management in the insurance sector.
- 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 with claims management, particularly with TPAs, is essential for success.
- Other info: Ideal for those passionate about data-driven improvements and operational efficiency.
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:
- Proven experience managing claims TPAs.
- Strong understanding of claims processes and performance indicators.
- Knowledge or experience in claims handling.
Desired:
- 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: Edenbrook
Contact Detail:
Edenbrook 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 for the TPA Manager position.
✨Tip Number 3
Stay updated on the latest trends and technologies in claims management, especially those related to TPAs. Showing that you are knowledgeable about current developments can set you apart from other candidates.
✨Tip Number 4
Prepare to discuss specific examples of how you've improved TPA performance in past roles. Being able to articulate your experience with tangible results will make a strong impression during the interview process.
We think you need these skills to ace TPA Manager
Some tips for your application 🫡
Understand the Role: Take the time to thoroughly read the job description for the TPA Manager position. Make sure you understand the responsibilities and required skills, as this will help you tailor your application effectively.
Highlight Relevant Experience: In your CV and cover letter, emphasise your practical experience managing claims, particularly with TPAs. Use specific examples to demonstrate your understanding of claims processes and performance indicators.
Showcase Your Skills: Make sure to highlight any experience you have with data management and performance improvement. Mention any relevant audits or claims handling experience that aligns with the job requirements.
Craft a Strong Cover Letter: Write a compelling cover letter that not only outlines your qualifications but also expresses your enthusiasm for the role. Discuss how your background makes you a great fit for the TPA Manager position and how you can contribute to continuous improvement in claims activities.
How to prepare for a job interview at Edenbrook
✨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 continuous improvement.
✨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 examples of how you've identified and mitigated performance issues in the past, as this will demonstrate your proactive approach.
