The Emerald Group Ltd, Search and Selection
Claims Manager
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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.
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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.
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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.
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