Summary
Overview
Work history
Education
Skills
Accomplishments
Timeline
Generic
Lindsay Thatcher

Lindsay Thatcher

Swindon,Wiltshire

Summary

Technical claims specialist with 25 years of experience in Financial Services. Expertise in managing insurance claims operations and implementing process improvements. Achievements include significant reductions in claim processing times and enhanced customer satisfaction through innovative strategies. Extensive experience in investigating and resolving disputes related to claims.


Overview

26
26
years of professional experience

Work history

Senior Claims Manager

HSBC Life
Bristol, Somerset
06.2024 - Current
  • Help to lead the UK Insurance Claims Team.
  • Manage claims decision making process and Team.
  • Ensure claims process meets desired service levels, good customer outcomes and regulatory requirements.
  • Own and maintain oversight of operational risks associated with claims management.
  • Drive forward initiatives to ensure customer needs are met.
  • Continual assessment and implementation of opportunities for claims process & decision making improvements to mitigate risk.
  • Demonstrate leadership through personal drive, tenacity and resilience in complex governance managed business.
  • Drive momentum for delivery of strategy and improvements.
  • Working with internal and external stakeholders initiating and maintaining trusted relationships across the full product journey.
  • Input into product enhancement, product design, proposition, marketing and distribution.

Freelance Technical Claims Specialist

Contract worker for AIG Life
Remote worker, Remote
09.2023 - Current

Currently working on a contract basis for the Group Claims Team at AIG Life assisting with the assessment of Group Income Protection claims.

Technical Claim Specialist

Guardian Financial Services
Reading, West Berkshire
08.2022 - 09.2023
  • Technical lead for Income Protection Claims.
  • Instrumental in preparing claims team for launch of the Income Protection product.
  • Delivered in-team and company wide training on features of Income Protection.
  • Developed a successful Income Protection claims philosophy, alongside our Reinsurance partner.
  • Made a significant contribution to the development of early intervention claims strategy.
  • Sourced third party service providers and organised the successful onboarding of partners.
  • Wrote and produced all customer facing claims correspondence relating to Income Protection claims.
  • Developed and maintained Standard Operating Procedures for Income Protection processes.
  • Contributed to system development of Income Protection claims management system and carried out user testing and feedback.
  • Delivered regular presentations to internal and external stakeholders on our claims proposition.

Group Income Protection Claims Portfolio Manager

Zurich Insurance
Swindon, Wiltshire
08.2018 - 07.2022
  • Successfully managed portfolio of income protection claims.
  • Oversight of a large team of Income Protection claim assessors.
  • Managerial responsibility for Claims Technical Manager.
  • Significantly increased portfolio profitability. From loss making business at onset of appointment to over £5m profit in first year.
  • Expertly managed performance of client schemes through regular reviews of data and analysis of trends.
  • Regular collaboration with Actuarial Team to ensure performance of schemes were in line with expectations.
  • Applied health claims knowledge to ensure claims were assessed and managed in line with policy terms and conditions and internal claims philosophy.
  • Senior escalation point for contentious claims and claim decisions above autonomy.
  • Chair of internal 'claims panel' meetings.
  • Responsibility for high value claims.
  • Responsible for delivery of monthly team meetings with claims assessors and in house Rehabilitation team.
  • Implemented a successful claims philosophy/strategy for Group Income Protection Claims team. Regular review of philosophy.
  • Significant contributor to the retention of business through effective customer relationship management.
  • Secured feedback from customers and brokers and fed into proposition team to drive improvements.
  • Regular support of distribution colleagues by presenting claims proposition to potential new customers.
  • Significant contributor to the growth of the Income Protection portfolio.
  • P62 and GR1 qualified. Distinction achieved in P62.

Senior Claims Specialist

Capita plc
Swindon, Wilts
01.2014 - 07.2018
  • Responsible for gathering medical and other relevant data to assess and determine validity of Critical Illness claims.
  • Substantiate legitimate claims and deny unjustified claims, including those which were fraudulent and those where misrepresentation had been identified.
  • Correctly apply policy terms and conditions to ensure fair and consistent treatment of all claimants.
  • Understand and apply ABI code of practice when assessing claims.
  • Promote case ownership and champion use of telephone to ensure effective relationships with clients.
  • Liaise with Consultant Medical Officers to improve knowledge and understanding of medical conditions and discuss challenging claims.
  • Liaise with Re-insurance partner where appropriate to agree claim assessment strategy and reach mutual agreement on claims.
  • Identify and correctly categorise misrepresentation in line with ABI guidance resulting in significant savings.
  • Responsible for the thorough medical investigation of Death Claims.
  • Lead point of contact for technical queries.
  • Training of claims team members on assessment of Critical Illness claims.
  • Responsible for timely resolution of all complaints and appeals relating to Critical Illness and Death claims with success rate of over 90% at Financial Ombudsman Service.
  • Evaluate all evidence with ultimate goal of creating positive outcomes for client's claims.

Appeals and Complaints Specialist

Zurich Assurance Ltd
Swindon, Wilts
01.2000 - 06.2014
  • Responsible for successful resolution of all appeals and complaints relating to Income Protection, Critical Illness, Waiver of Payment and Permanent Total Disability claims.
  • Sound knowledge of all claim disciplines.
  • Senior point of escalation for technical queries from assessment team.
  • Responsible for claims referred to Financial Ombudsman Service, including Presenting and defending company cases.
  • Excellent working relationship with regulator enjoying success rate above industry average.
  • Ownership of board complaints on behalf of senior management, investigating concerns, evaluating action required and proposing solutions.
  • Handling cases in conjunction with Legal Department ensuring all relevant information is taken into account and understanding decision making process when dealing with litigious cases.
  • Gathering Root Cause Analysis Data on complaints and implementing improvements where necessary.
  • Reduced volumes of complaints and increased service standards through sharing knowledge, insights and experience.

Education

GCSE -

St. Joseph's Catholic College
England, United Kingdom
1996

Skills

  • Income Protection, Critical Illness and Life claims management
  • Strategic leadership
  • Detailed market understanding
  • Technical insurance competence
  • Knowledge of insurance regulations
  • Insurance industry knowledge
  • Claims and risk data analysis
  • ACII Claims Diploma
  • Insurance policy coverage knowledge
  • Complaint handling
  • Relationship management skills

Accomplishments

  • Women in Insurance nominee.
  • Winner of Outstanding performance in claims handling at Protection Guru Awards 2024
  • Winner of Outstanding case study at Cover Customer Care awards 2025
  • CII Claims Diploma.
  • Achieved an above industry success rate on complaints referred to the Financial Ombudsman Service .
  • Winner of the Zurich Service Excellence Award.
  • Key departmental contact and lead assessor on a number of complex claims
  • Standout performer recognised through highest autonomy level within the team.
  • Acting Area Data Protection Co-ordinator for a number of years
  • Winner of the 2016 Protection Review Team Life and Health Claims Award.

Timeline

Senior Claims Manager

HSBC Life
06.2024 - Current

Freelance Technical Claims Specialist

Contract worker for AIG Life
09.2023 - Current

Technical Claim Specialist

Guardian Financial Services
08.2022 - 09.2023

Group Income Protection Claims Portfolio Manager

Zurich Insurance
08.2018 - 07.2022

Senior Claims Specialist

Capita plc
01.2014 - 07.2018

Appeals and Complaints Specialist

Zurich Assurance Ltd
01.2000 - 06.2014

GCSE -

St. Joseph's Catholic College
Lindsay Thatcher