Edenbrook
Claims Operations Analyst
London
Posted about 19 hours ago
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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 authorized individual with payment authority.
- Contribute to ongoing data validation, process improvement, and operational control activity across the claims function.
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Key Personal Skills Required
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- 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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Skills
Claims Operations
Claims Handling
Insurance Operations
Claims Processes
Data Validation
Operational Controls
Reporting
Regulatory Requirements
Audit
Sequel Claims
BLUW
Gemini
Event Coding
Bordereau Management
Static Claims Review
Claims Data
Location