Claims Operations Analyst

Key Tasks

• Provide clear, accurate and timely claims information, reports and supporting documentation to internal stakeholders, including Reinsurance, Underwriting and Audit, as required.
• Support the resolution of Sequel Claims issues by completing daily claim matching, clearing operational workflow steps, monitoring claims activity, escalating system issues to IT, Event Coding and managing diary actions and follow-ups
• Complete data validation and coding checks across Sequel Claims and BLUW, ensuring claims information is accurate, complete and appropriately maintained.
• Support the completion of Lloyd’s returns, DOI returns and Solvency II returns within agreed deadlines.
• Assist with month-end and year-end close processes
• Review static claims in line with the CTIS process and escalate exceptions where appropriate.
• Process claims-related fees through Gemini in accordance with internal controls.
• Support delegated claims management activity, including bordereau management and downloading lead bordereaux.
• Facilitate manual entries within Sequel, ensuring ultimate claim sign-off is completed by an authorised individual with payment authority.
• Contribute to ongoing data validation, process improvement and operational control activity across the claims function.

Key personal skills required

• Proven experience in claims operations, claims handling, insurance operations or a similar role.
• Good understanding of claims processes, ideally within the Lloyd’s, London Market or specialty insurance environment.
• Experience working with claims systems; experience with Sequel Claims, BLUW, Gemini or similar platforms would be advantageous.
• Comfortable handling claims data, reporting requests, validations and operational controls.
• Awareness of Lloyd’s, regulatory, audit and reporting requirements relevant to claims operations.
• Proven experience in claims operations, claims handling, insurance operations or a similar role.

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