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Third Party Administrator

Job Seekers Ireland Financial Services Financial Services

Job Summary

  • Republic of Ireland
  • Permanent
  • BBBH802967
  • Jan 06, 2022
  • Competitive
Job Description

Third Party Administrator (TPA) Service Specialist | Permanent There is an exciting opportunity for a Third Party Administrator (TPA) within an globally recognised Insurance company

This company is recognised for their positive and collaborative culture, rewarding staff with competitive benefits packages and career progression opportunities.

The successful candidate will be responsible to oversee and monitor the delivery of a robust and effective control environment related to the provision of claims services provided by a TPA who manages a large and growing portfolio of motor damage and bodily injury claims.

The Role:

  • Embed and motor controls, procedures and escalations to ensure timely and accurate TPA halding of motor and bodily injury claims
  • Oversee claims which are outside the scope of the TPA's claims handling authority and provide direction on setting of reserves, policy coverage. investigation strategies and settlement of claims.
  • Monitor claim reserves and where required prepare files for referral to the Reserve Committee.
  • Monitor TNPS scores on all claims and provide the necessary feedback to stakeholders.
  • Manage & coordinate complaints to ensure complaints are investigated and resolved in line with Complaints Policy and, provide insight and analysis of all forms of feedback to ensure continuous improvement.
  • Assist in the scheduling, organization and conducting of TPA technical file leakage/quality, operational and other ad-hoc reviews to ensure compliance to regulatory, legislative, contractual and General Insurance Claims Policy (GICP) requirements.
  • Regularly audit damage and Injury files to establish application of timely, accurate and consistent reserves and ensure all files are reviewed on an on-going basis throughout the claims cycle

Data Reporting

  • Develop and produce management reports and scorecards that will be utilized to improve the management and control of TPA's.
  • Develop, implement, and manage processes for validating and reconciling TPAs' data fed into the systems to assure accuracy of funding, billing and compliance with all financial control requirements.
  • Contribute to projects and activities related to the maintenance and enhancement of the TPA's data management and exchange processes

Relationship Management

  • Manage and oversee resolution of performance issues.
  • Responsible for due diligence, technical guidance, and contract development on new and existing TPA's.
  • Participate in performance review meetings with the TPA's.
  • Work closely with all stakeholders to identify and resolve potential problems at an early stage.
  • Provide insight to our internal stakeholders on the performance of the accounts under your management.
  • Support the Lines of Business heads by providing a highly credible claims proposition to our policyholders

Requirements:

  • 5 years relevant claims handling experience, handling large portfolios of bodily injury claims.
  • CIP qualification
  • Demonstrate an advanced standard of technical claims competence for handling moderate to high complexity bodily injury claims up to High Court level.
  • Possess strong policy language skills enabling accurate and consistent policy wording interpretation for coverage oversight
  • Knowledge and/or experience managing TPA's a distinct advantage.
  • Experience in Managing Large Self-Insured Risks.
  • Experience in negotiation, particularly via attendance at Court.
  • A strong understanding of Governance & Oversight standards & requirements.
  • Excellent numerical and analytical skills.
  • Desire to learn and be flexible to business change.

Morgan McKinley is acting as an Employment Agency in relation to this vacancy.

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Consultant Details

Consultant Details

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Frank Fitzgerald
  • Consultant | Financial Services Recruitment
  • 353 (0) 1 4321555
  • ffitzgerald@morganmckinley.com