Claims

The LMA claims team is responsible for ensuring that the interests of the Lloyd's market are effectively represented in order to influence the Corporation, external groups and government agencies.

Through the team's technical expertise they provide day to day support for each of the class of business claims sector groups, as well as the LMA Claims Committee, Head of Sector and Claims Operations groups.

Download the claims committee structure map

Key facts about the LMA and its claims team

  1. We are independent of the Corporation of Lloyd’s.
  2. We are a membership organisation representing the managing agents.
  3. We lead and support projects and initiatives to influence change in the market.
  4. Change can only be effective with the support of our members – you!

If you need any guidance on claims issues let us know – if we can’t help, we’ll know someone who can.

The LMA claims team has produced a claims philosophy outlining our focus and approach and how we support you and your business. It also contains contact details for each team member, as well as their areas of expertise. 

What we have delivered so far

Co-Lead Claims Agreement: Delivery of a model agreement that will wrap around a number of co-lead arrangements to a specific coverholder, replicating the processes within the Lloyd’s Claims scheme to ensure efficient claims agreement processes. This has now been published as LMA9157, and can be found in LMA Bulletin LMA18-046-TH.

Updated Central Records: Lloyd's have undertaken a reconciliation exercise with managing agents to ensure that central records of delegated claims arrangements are up to date. Once these have been integrated with existing records they will be in touch with TPAs to further expand that reconciliation exercise – this should give clarity to all stakeholders about who is responsible for claims handling in all instances.

Claims Audit Testing Sheets: The LMA has now completed design work on updating the claims testing sheets to be used with the Coverholder (and shortly to be delivered TPA) audit scope. This increases the focus on technical claims handling and could either be used on site by a Coverholder / TPA auditor, or for desktop file reviews.