Claims Governance (España)

Claims Governance (España)

30 jul
|
Sompo
|
España

30 jul

Sompo

España

Sompo International is seeking a Claims Governance & Quality Assurance Specialist to join our Continental Europe Claims team. As part of our expanding organisation, this role reports to the Head of Claims, Continental Europe, and plays a key part in strengthening our governance framework, enhancing claims quality, and supporting the profitable growth strategy of Sompo International in the region. The position spans multiple countries and requires close collaboration with local claims teams, Compliance, Finance, ERM & Operational Risk, and senior management. The role also acts as a key interface with Internal Audit, which oversees the J‑SOX framework, and with the ERM & Operational Risk team, which manages RCSAs, incident/event reporting, and thematic reviews of material operational risk areas.
Location: This position will be based in one of our European Offices, preferably in Paris.
What you’ll be doing:
- Quality Assurance
- Conduct independent QA reviews of claim files across lines of business and jurisdictions.
- Identify trends, control gaps,



and improvement opportunities for our claims handling.
- Provide structured feedback to claims teams and support remediation plans.
- Maintain and enhance QA frameworks, scoring methodologies, and reporting tools.
- Monitor claims leakage indicators and support initiatives to reduce leakage.
- Claims Governance & Risk Controls
- Coordinate and monitor J‑SOX controls related to claims processes.
- Ensure compliance with regulatory requirements across the Continental Europe region.
- Support fraud detection and prevention activities, including case triage, escalation, and follow‑up.
- Ensure compliance with sanctions screening requirements and related controls.
- Support Compliance in managing claims‑related complaints, including tracking, root‑cause analysis, and reporting.
- Maintain governance documentation and act as primary contact for Internal Audit on J‑SOX testing and audit reviews.
- Ensure timely delivery of control

📌 Claims Governance (España)
🏢 Sompo
📍 España

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