The scoreboard, honestly: the hard targets, how often each one is actually looked at,
and the quiet human signals that never make it onto a dashboard.
Average Claim Lifecycle
The average time it takes for you to close a standard, non-complex claim from the First Notice of Loss (FNOL) to final settlement.
Target · < 30 days for standard claimsIf you've got 20 standard claims, and 18 are closed within 28 days, while 2 take 35 days, we'll look at that average. The goal is to get customers sorted quickly.
File Closure Rate
The number of claims you successfully close each week, demonstrating your ability to manage your caseload effectively.
Target · > 15 files per week (for standard claims)Closing 17 files in a week shows you're on top of things. This isn't about rushing, but about consistent progress.
Indemnity Accuracy
How close your initial payment estimates are to the actual final payout on claims, indicating your judgment and investigation skills.
Target · < 2% variance on payments vs. estimatesIf you estimated a £10,000 payout and it ended up being £10,150, that's a 1.5% variance – pretty good. We want to avoid big surprises.
Customer Satisfaction (CSAT)
Feedback from customers on their experience with you during the claims process, usually gathered via a short survey.
Target · > 4.5/5 average scoreIf 9 out of 10 customers give you a 5-star rating, you're clearly making a positive impact. Happy customers are key.
Reserve Adequacy (Individual Files)
Ensuring the financial reserves you set aside for individual claims are appropriate and reflect the likely ultimate cost.
Target · Overall reserves within +/- 5% of ultimate payout for your caseloadIf your caseload's total reserves were £500,000 and the claims ultimately paid out £510,000, that's a 2% variance, which is spot on. We don't want to over-reserve or under-reserve.
Quality of Investigation & Documentation
How thoroughly you investigate claims, gather evidence, and document your decision-making process in the claims system.
- Your claim files are clear, concise, and contain all necessary evidence. You've asked the right questions, followed up diligently, and your rationale for decisions (e.g., liability, quantum) is easily understood by an auditor or reviewer. No missing documents or unexplained gaps.
Proactive Communication
Keeping customers and relevant internal teams updated on claim progress without them having to chase you.
- Customers regularly comment positively on your communication. Internal teams (like Underwriting) say you keep them in the loop. You're sending updates before they're expected, not just after a query comes in. No 'chasing' required from your manager.
Adherence to Regulatory Guidelines
Consistently following all industry regulations and internal compliance procedures for claims handling.
- No compliance breaches or audit findings related to your claims. You're always up-to-date on any changes in rules and apply them correctly. Your files would pass a spot-check from the regulator.
Problem-Solving & Judgment
Your ability to assess complex situations, identify potential issues, and propose sensible solutions within your authority.
- When you hit a snag, you don't just escalate
- you come with a suggestion. You can explain the 'why' behind your decisions, even when they're not straightforward. You show good judgment on borderline claims, knowing when to push back and when to settle.