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 & Experience:
- Proven claims handling, oversight or portfolio management experience; MGA/Delegated Authority preferred.
- 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.
Claims Manager in Brighton employer: The Emerald Group Ltd, Search and Selection
Join a leading financial services firm that prioritises employee development and fosters a collaborative work culture. With a strong commitment to regulatory excellence, this role offers the opportunity to engage with senior management and shape the future of risk governance while enjoying competitive benefits and a supportive environment in a vibrant location. Embrace your potential in a company that values innovation and integrity, ensuring meaningful contributions to the industry.
Contact Details:
The Emerald Group Ltd, Search and Selection Recruitment Team
