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Claims Controller - Governance

Claims Controller - Governance

CHUBBMadrid, Comunidad de Madrid, España
Hace 7 días
Descripción del trabajo

We are seeking an experienced Claims Controller to support the Head of Claims Governance and Conduct and the Claims Control Manager in the day-to-day operation and future development of our Claims governance and oversight framework.

The main purpose of this role is to ensure that the EMEA Claims function operates in compliance with all internal and external regulatory and governance policy requirements. You will play a central role in maintaining and operating the Claims Control framework, working closely with the Claims Controls Manager. This position involves direct involvement in the preparation and execution of regulatory and corporate governance audits, including ACPR, FCA, PRA, Lloyd’s, and SOX.

Key Responsibilities :

Claims Controls :

  • Support the day-to-day operation of the Claims Control framework to ensure compliance with COG Claims Framework requirements and relevant regulations.
  • Ensure timely and accurate triggering, performance, and operation of claim controls.
  • Review and enhance the design and operation of claims controls, performing root cause analysis as necessary.

Claims Control Framework Documentation :

  • Assist in maintaining the EMEA claims control framework documentation.
  • Draft and review updates to Claims Guideline, Best Practice, Process, and Control Narrative / Wording documentation.
  • Execute a regular cycle of review, approval, and roll-out of documentation to ensure compliance with standards.
  • Claims Authorities :

  • Support the maintenance and operation of the claims authority framework.
  • Assist in the maintenance, operation, and enhancement of the claims authority and system access (CASA) process.
  • Manage IT and Genpact’s contribution to the CASA process and Claims Authority Database updates.
  • Reporting :

  • Support the delivery and development of Claims Governance cyclical and ad-hoc reporting requirements.
  • Gather information and contribute to the drafting and development of monthly and quarterly reports.
  • Review MI prepared off-shore, such as B&I reporting and central Log maintenance.
  • Audit Activity :

  • Assist with internal and external audit and review activities.
  • Support Claims QA, Internal Audit, Compliance, Financial Compliance, Risk Management, and external review requirements.
  • Manage relationships with reviewers and assist with issue and control deficiency remediation.
  • Claims Team Support and Training :

  • Establish supportive working relationships with Claims teams across the region.
  • Support Claims Governance training identification, development, and delivery to EMEA Claims teams.
  • Claims Governance Representation :

  • Attend and contribute to key governance, compliance, risk, and conduct meetings.
  • Good understanding of the claim handling process and operational aspects of an insurer (vendor and carrier perspective)
  • ACII Qualification or working towards this
  • Demonstrate sound written and oral communication skills and able to exercise appropriate discretion in dealing with people from all levels within Claims as well as other areas of the Business
  • Sound stakeholder management skills and the ability to influence and gain confidence from claims adjusters and managers
  • An understanding of UK and French (ACPR) insurance regulation and some experience of a role involving governance, compliance, and risk activity
  • Excellent time management and organisational skills. Must be able to excel independently and in team environment.
  • Knowledge of, and experience with, software applications, including multiple claim systems, web-based systems, and MS Office in particular Excel for reporting, analysis and operational purposes
  • We offer in return!

    Competitive salary & pension scheme, discretionary bonus scheme, 25 days annual leave plus ability to purchase 5 additional days, hybrid working options, Private Medical cover, Employee Share Purchase Plan, Life Assurance, Subsidised gym membership, Comprehensive Learning & development offerings, Employee Assistance program.

    Integrity. client focus. respect. excellence. teamwork

    Our core values dictate how we live and work. We’re an ethical and honest company that’s wholly committed to its clients. A business that’s engaged in mutual trust and respect for its employees and partners. A place where colleagues perform at the highest levels. And a working environment that’s collaborative and supportive.

    Diversity & Inclusion. At Chubb, we consider our people our chief competitive advantage and as such we treat colleagues, candidates, clients, and business partners with equality, fairness and respect, regardless of their age, disability, race, religion or belief, gender, sexual orientation, marital status or family circumstances.

    We are committed to ensuring our recruitment process is inclusive and accessible to all. If you have a disability or long-term condition (for example dyslexia, anxiety, autism, a mobility condition or hearing loss) and need us to make any reasonable adjustments, changes or do anything differently during the recruitment process, please let us know.

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