Claims Manager - Third Party Complex Job at Social Value Portal Ltd (London)

Senior Complex Claims Manager

As a Senior Complex Claims Manager, you will play a vital role in safeguarding t...

Location

United States

Salary:

125000.00 - 145000.00 USD / Year

Airbnb

Expiration Date

Until further notice

Requirements

10+ years of Insurance Claims Coverage and Litigation experience with an emphasis on liability and property, including severe losses and strong global exposure
Demonstrated portfolio-level leadership: setting strategy, vision, defining KPIs for immediate team
Strong data acumen: Analytical fluency working with large data sets, comfortable defining metrics and working with Analytics and Data Science
Strong knowledge complex complex resolution: Understand techniques, investigative methodologies, and legal aspects related to complex, severe claims resolution
Strong communication: Strong verbal and written communication skills, with the ability to explain complex topics to diverse audiences. Skilled in presenting complex and sensitive customer issues, with the ability to analyze large data sets and draw reasonable conclusions
Influence Airbnb cross-functional teams globally: Proven ability to collaborate effectively across disciplines, regions, and seniority levels. Strong negotiating skills and experience in communicating recommendations to both internal and external stakeholders
Judgement
Proactively work towards achieving a fair and suitable resolution for claims in a timely manner by employing effective conflict resolution strategies
Evaluate and interpret policy language and relevant case law alongside specific loss details to make informed coverage decisions
Coordinate loss investigations with external experts across various exposures and manage the adjustment process until final resolution

Job Responsibility

Assess how the new policies /products impact the risk and exposure mitigation for high severity claims, and how our operating model should evolve
Builds partnerships and leads Large Loss Claim reviews with our insurers on a monthly / quarterly basis depending upon the insurer/market. Ensure we are managing insurers claim handling and potential coverage/relationship issues as well as material reserve changes that could impact Airbnb and the Captive
Craft a Resolution Plan for Complex and Large Loss Claims driving the Carrier and/or TPA to resolve the claim while meeting the needs of internal stakeholders
Partner with Legal, GCM, Trust and our Brokers, Insurers, Outside Counsel, and TPA’s on complex claims resolution which may also involve coverage issues and settlement authority
Accountable for performance and results Insurance Carrier and Partners worldwide over Complex Claims which may impact policy limits or trigger need of notice to Brokers and Carriers under the insuring policies
Build an executive ready dashboard for the Complex Claims team (Top drivers, cycle time, reserve adequacy)
Develop and execute end to end strategies for handling Complex Claims integrating with Legal Litigation, Safety and Trust teams
Author clear process, policy changes and ensure clear change management across the team
Training and SME for L6, L7, and L8 Host Damage Protection and Host Liability Protection Specialist on claims. Works to upskill partners for growth and development. Supports the team by guiding through complex claims and changes
Complex Claim Lead for training and upskilling of AirCover Specialists on new processes, program changes, and workflows

What we offer

bonus
equity
benefits
Employee Travel Credits

Fulltime

Principal Technical & Complex Claims Leader

Are you looking for a new challenge? Fancy helping us shape the future of motor ...

Location

United Kingdom , Manchester

Salary:

Not provided

Prima

Expiration Date

Until further notice

Requirements

Senior Leadership: 10+ years of senior leadership experience within the UK Motor Insurance market, either at a large UK insurer, MGA, or InsurTech
Transformation Experience: Demonstrated experience of leading major claims transformation activity, with a proven track record of designing, scaling and/or restructuring Complex Claims functions
Financial Acumen: Deep expertise in managing multi-million pound Complex Claims portfolios
proven ability to set reserving philosophies, establish appropriate authority limits, and manage the financial levers that drive Loss Ratio performance
Subject Matter Expertise: Advanced knowledge of all areas of Complex Claims, including Large Loss, Complex Bodily Injury, Credit Hire indemnity strategy, Case Law, Litigation Management
Entrepreneurial Approach: Demonstrably "can-do" mindset
able to effectively operate within a fast-paced MGA environment
Tech-forward Mindset: Strong strategic grasp of how advanced technology (including AI, Machine Learning, and Advanced Data Science) can be used to disrupt and reinvent traditional claims handling processes for the better
People Leadership / Gravitas: Proven ability to lead and inspire a team of ambitious Domain Managers, and Technical Claims Specialists
Cross-functional Influence: Highly adept at working transversally across different functional areas to drive collaboration and ensure effective progress

Job Responsibility

Functional Design & Build: Work with the Head of Claims UK to design, direct, and execute the internalisation strategy for Technical & Complex Claims
lead the transformation agenda across the Technical & Complex Claims set of domains as we internalise
Build and lead a capable team of high-calibre Technical Claims Specialists across High-Value Claims, Large Loss, Complex Bodily Injury, and Third-Party Property Damage / Credit Hire
As we internalise and scale the overall functions, this role will lead a team of Managers responsible for each of these individuals domains of in-function expertise
Establish strong processes across Technical Claims to ensure case strategies are effective, proactive, and focused on commercially-aware settlement
Technical Claims Leadership: Act as the ultimate point of authority on Technical Claims topics, providing evidence-based advice and recommendations on case strategies, technical referrals, and other areas of relevant subject matter expertise
Hold joint accountability (with the Head of Claims UK) for financial performance of the Complex & Technical Claims portfolio
define and embed our reserving philosophy, proactively manage indemnity spend, minimise leakage, and directly influence the firm’s Loss Ratio performance
Complex Claims / Referrals Management: Act as a senior point of escalation for Claims exceeding individual specialist handlers’ authority limits
ensure that key case decisions are effective, facts-based, and well-considered

What we offer

Private healthcare
Gym discounts
Wellbeing programs
Mental health support

Fulltime

Claims Manager - Commercial Property

An independent claims handler who will manage and oversee the end-to-end claims ...

Location

United Kingdom , London

Salary:

Not provided

Social Value Portal Ltd

Expiration Date

Until further notice

Requirements

Degree preferred but not required
Three of more years' experience handling commercial Property insurance claims
Adjuster license(s) may be required as part of your job responsibilities
Analytical skills: Problem solving (broad-based, analytical, conceptual, creativity), analysis of financial statements, financial assessments of claims, data analysis and decision-making
Work management skills: Time and workload management, self-starter, planning, achievement orientation, productivity focused
Interpersonal skills: Ability to influence others, client and broker management skills, purposeful communication, flexibility, active listening
Handling claims / managing portfolios within the delegated space
managing losses in excess of delegated authority and ensuring DCAs adhere to contractual and market expectations
Managed claims in UK, Australia and potentially US / Canada also

Job Responsibility

Proactively manage a diverse portfolio of Property claims
Handle claims from first notice of loss through resolution, assessing severity, complexity, and direct financial loss
Evaluate policy coverage in line with underwriting intent, draft clear and well-reasoned coverage position letters
Manage portfolio of medium to high severity claims, including Category 2 and some Category 1 claims
Review of individual claims within the portfolio on a regular basis
Establish appropriate and timely case reserves
Develop, iterate, document, and execute claims strategies
Ensure the management of claims conforms to the agreed standardized processes
Communicate any material claims to Reinsurance and Finance
Working with Reinsurance to effect claims recoveries

Fulltime

Claims Manager - International Financial Lines

An independent claims handler who will manage and oversee the end-to-end claims ...

Location

United Kingdom , London

Salary:

Not provided

Social Value Portal Ltd

Expiration Date

Until further notice

Requirements

University degree
Three of more years' experience handling commercial liability insurance claims, preferably under management liability and financial institution policies
Adjuster license(s) may be required as part of your job responsibilities. If required, those licenses must be obtained within the first 90 days of your employment and in accordance with an individual licensing plan established by Beazley Compliance and your Manager
Legal training or claims experience, including assessing liability and negotiating settlements
Functional expertise includes: claims management procedures, knowledge of both US and international insurance markets (general and specialised areas), familiarity with US and global legal and regulatory frameworks, as well as alternative dispute resolution methods
Analytical skills: Problem solving (broad-based, analytical, conceptual, creativity), analysis of financial statements, financial assessments of claims, data analysis and decision-making
Work management skills: Time and workload management, self-starter, planning, achievement orientation, productivity focused
Interpersonal skills: Ability to influence others, client and broker management skills, purposeful communication, flexibility, active listening

Job Responsibility

Proactively manage a diverse portfolio of management liability, employment practice, professional indemnity and crime claims
Handle claims from first notice of loss through resolution, assessing severity, complexity, and direct financial loss to determine the appropriate level of involvement based on claim type, maturity, and quantum, while working closely with brokers, insureds, and underwriting partners
Evaluate policy coverage in line with underwriting intent, draft clear and well-reasoned coverage position letters, and effectively communicate coverage determinations to brokers, insureds and other relevant stakeholders in accordance with Beazley’s Claims Service Standards
Manage portfolio of medium to high severity claims, including Category 2 and some Category 1 claims (i.e., claims with an expected or actual value in excess of $500,000 or having material coverage issues) including (depending on training and agreement of the Head of) Coverage Litigation but without allegations of bad faith
Review of individual claims within the portfolio on a regular basis ensuring claims records are maintained in a timely manner as required by Beazley’s claims controls and standards as well as regulatory minimums
Establish appropriate and timely case reserves adhering at all times to Beazley’s authority protocols and Beazley’s Claims Reserving Philosophy and Standards while using all tools available to demonstrate potential loss exposure
Develop, iterate, document, and execute claims strategies taking into account uncertainties, key decisions, potential outcomes, and estimated associated costs
Ensure the management of claims conforms to the agreed standardized processes, maintain accurate and updated claims files including proper documentation and data
Communicate any material claims to Reinsurance and Finance as set out by the applicable claims authority, claims controls/protocols, and procedures
Working with Reinsurance to effect claims recoveries

Fulltime

Manager, Claims Partnerships

As a Manager, Claims Partnerships, you are the primary driver of performance for...

Location

United States , Phoenix; Chicago

Salary:

117000.00 - 145500.00 USD / Year

Uber

Expiration Date

Until further notice

Requirements

5+ years of experience in claims strategy, vendor management, or insurance operations
Experience with SQL, Tableau, or similar data visualization tools to independently validate partner performance data
Demonstrated experience using LLMs (Large Language Models) to accelerate workflows
Proficiency in prompt engineering for complex tasks
Proven ability to manage complex implementations or operational changes across multiple geographic regions (US & Canada)
Specific exposure to litigation trends or regulatory environments in high-risk jurisdictions
Deep understanding of Third Party Administrator (TPA) internal economics and staffing models
Ability to thrive in a "0-to-1" environment
Demonstrated experience interacting with senior leadership
Strong ability to interpret complex claims data and identify operational root causes

Job Responsibility

Strategic Diagnosis & Influence: Move beyond tracking KPIs to diagnosing root causes
Define & Refine Expectations: Collaborate with Claims Leadership to draft and optimize Special Handling Instructions and contractual operational agreements
Partner Operational Health: Anchor performance in measurability
Process Governance: Validate that agreed-upon processes are actually "live" in the partner’s operation
Cross-Functional Bridge: Partner deeply with internal stakeholders—specifically Geo and Severity leads—to address emerging trends
Aligned Prioritization: Maintain strict alignment with the Claims Management Team’s unified vision

What we offer

Eligible to participate in Uber's bonus program
May be offered an equity award & other types of comp
All full-time employees are eligible to participate in a 401(k) plan
Eligible for various benefits

Fulltime

Project Procurement Specialist

In this role, you will be responsible of procurement execution for projects, wit...

Location

Czech Republic , Ostrava

Salary:

Not provided

Sport Vision Czechia s.r.o.

Expiration Date

Until further notice

Requirements

High school / university education (technical field is an advantage)
Experience as a buyer in the technical field
English language on the communicative level (daily written and oral communication, minimum B2)
Be very proactive in communication with suppliers and customers (search and negotiation)
Strong interpersonal skills to engage with a diverse range of individuals across various positions and locations
Ability to manage complex tasks with a lot of unknown variables during project tender phase
Self-motivated and able to work independently
Understanding the processes and organization of multinational companies
Experience in MS Office – Excel (orientation in pivot tables, etc.) & Power Point

Job Responsibility

Procurement Project Execution
Assuming overall responsibility for correct and on-time delivery of goods and services procured from global suppliers
Managing open orders and maintaining proactive expediting and progress control throughout project execution
Coordinating schedule and freeze alignment, ensuring suppliers meet critical project milestones
Conducting kick-off meetings and coordinating internal stakeholders to establish clear project expectations
Handling comprehensive documentation control, including document transmittals and milestone documentation
Monitoring procurement activity status with proactive identification and resolution of delivery delays
Negotiating and managing change orders, expediting their execution while maintaining contractual alignment
Exercising contractual control over supplier performance and execution compliance with PO terms
Defending ABB's contractual rights by compiling, documenting, and addressing supplier claims

What we offer

Flexible working hours
Option to work from home (Home Office) with a financial contribution
Annual financial bonus
25 days of vacation
Annual salary review
Opportunity for further career growth in the Czech Republic and worldwide
MultiSport card
Meal allowance
Contribution to the benefits portal (2-3% of monthly salary)
Referral bonus for recommending a new employee

Fulltime

Medical Claims Examiner

We are looking for a detail-focused Medical Claims Examiner to join an insurance...

Location

United States , Greenville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of direct medical claims processing and adjudication experience with responsibility for final payment decisions.
Practical knowledge of applying plan benefits, including deductibles, coinsurance, copays, and benefits coordination.
Working familiarity with ICD-10 diagnosis coding, CPT/HCPCS procedure coding, revenue codes, bill types, and explanation of benefits review.
Experience using provider networks, contract terms, or fee schedules to price and evaluate claims accurately.
Background in a third-party administrator, self-funded, or medical insurance claims environment is strongly preferred.
Ability to distinguish true claims adjudication work from customer service, enrollment, billing-only, intake, or audit-only functions.
Strong written and verbal communication skills, along with proficiency in Microsoft Word, Excel, and Outlook.
Proven ability to manage a high-volume workload while maintaining accuracy and adapting to changing priorities.

Job Responsibility

Review and adjudicate medical, dental, vision, and flexible spending account claims from intake through final payment determination.
Examine suspended or flagged claims to identify billing discrepancies, duplicate submissions, unbundled charges, or other questionable claim activity.
Resolve system-related claim exceptions by making manual corrections before claims are finalized for payment.
Apply member benefits, provider contract terms, fee schedules, and applicable regulations to calculate accurate reimbursement outcomes.
Interpret coding and billing details, including diagnosis and procedure information, to support proper claim handling.
Escalate complex claim issues or unclear situations to leadership when additional review or guidance is needed.
Manage assigned exception reports and follow through on outstanding claim items in a timely manner.
Meet established productivity, turnaround, and quality expectations while maintaining dependable attendance at the Greenville, South Carolina worksite.

What we offer

medical, vision, dental, and life and disability insurance
401(k) plan

Senior Payroll Administrator

Are you an experienced payroll specialist looking to elevate your career with an...

Location

Canada , Acton

Salary:

72000.00 - 82000.00 USD / Year

Randstad

Expiration Date

August 07, 2026

Requirements

More than 5 years of dedicated Canadian payroll experience executing full-cycle payroll processes within a mid-size corporate setting
Proven hands-on experience concurrently managing both US payroll and Canadian payroll systems
Demonstrated mastery and daily operational experience using the ADP Workforce Now (WFN) payroll platform
Absolute ability to work fully onsite at the corporate head office located in Acton, Ontario
Completion of a Post-secondary degree or diploma in Accounting, Finance, Business Administration, or a related discipline
Holding a Payroll Compliance Professional (PCP) accreditation or actively pursuing certification is highly preferred
Prior experience working within a standalone payroll capacity or managing a complete payroll function independently is considered a strong asset
Previous experience coaching, mentoring, or supervising a junior member of a finance & accounting or payroll team is preferred
Experience processing or overseeing Mexico payroll operations is considered a valuable asset for this global role

Job Responsibility

Work collaboratively within the payroll team to accurately process Canadian payroll for all team members on a regular, predictable schedule
Process and administer various complex corporate bonus and commission programs on a monthly, semi-annual, and annual basis
Prepare, validate, and file all payroll-related statutory filings and remittances, including WCB/WSIB, EHT, CPP, and OAS
Prepare and reconcile complex payroll-related journal entries, including regular vacation accruals and period-end balances
Validate daily team member changes, new hires, leaves of absence, and departures while administering corporate benefit programs, including RRSP/DPSP allocations and paid time off
Perform rigorous regular self-audits and provide comprehensive documentation to support internal, off-cycle, and year-end audits
Assist team members with complex issues involving pay, corporate benefits, or claims, collaborating closely with the human resources department
Submit Records of Employment (ROEs) directly to Service Canada and process accurate T4s and W2s for Canadian payroll and US payroll systems
Maintain full ownership of end-to-end payroll processes and professional relationships across Canada and the USA, while overseeing payroll for Mexico and Honduras through third-party partners
Assist the finance & accounting team in establishing localized payroll infrastructure for new US states and Canadian provinces as business growth dictates

What we offer

Competitive annual salary range of $72,000 to $82,000, commensurate with experience and payroll expertise
Permanent, stable employment with an industry-leading manufacturer recognized as one of Canada’s Best Managed Companies for over 10 years
Comprehensive health, dental, and wellness benefits packages designed to support your total well-being
Robust corporate RRSP contribution and matching program to help you secure your financial future
Active employee Recognition Program featuring exciting corporate rewards and peer-to-peer appreciation
Access to an incredible on-site fitness facility, specialized equipment, and corporate "Grab and Go" bikes
Vibrant company culture featuring regular community events, complimentary staff lunches, and annual corporate celebrations
Dedicated career development pathways within a globally recognized business environment that values inclusive human resources practices

Fulltime

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Claims Manager - Third Party Complex

Job Description

Job Responsibility

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