Lead Casualty Treaty Claims Specialist

QBE Insurance Group • New York, NY

13h • $126,000 - $189,000 • Hybrid

About The Position

Oversee and manage assumed reinsurance excess of loss and proportional business emanating from QBE Re’s casualty and property book of business including an emphasis on Cedent audits. Ensure that all claims are being properly reported to QBE Re pursuant to the terms and conditions of the reinsurance contract(s).

Requirements

• 5+ years of Reinsurance Claims Experience and/or 10+ yeas of primary insurance claims experience
• Generate original, innovative solutions to difficult or unusual situations
• Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
• Financial and business acumen and awareness of financial responsibility
• Quickly change direction when working on multiple projects or issues
• Guide team to properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures
• Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
• Assume a methodical approach to a given situation and develop a systematic procedure as a response
• Develop effective negotiation strategies and prepare a plan of action
• Build and capitalize on beneficial internal and external relationships including competitors
• Coach and encourage employees towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities and career advice
• Build and establish constructive and cooperative working relationships and open lines of communication
• Utilize effective communication skills to influence and persuade decision makers

Nice To Haves

• JD degree or equivalent highly preferred
• Experience handling Casualty and Property Insurance/Reinsurance claims
• Experience in Auditing primary and umbrella insurance claims
• Working knowledge of a Reinsurance Contract. Experience managing Casualty Lines claims
• Working knowledge of current and possible future policies, practices, trends, technology and information affecting the business and organization; knows how the business works
• Working knowledge of relevant claims legal and technical knowledge for all US jurisdictions
• Working knowledge of insurance policy and contract language
• Working knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique, and coordination of people and resources

Responsibilities

• Complete either on-site or remote reinsurance claim audits when necessary
• Deliver quality claims service to our internal underwriters, actuaries, etc. and external partners (Brokers and Cedent’s)
• Manage a portfolio of reinsurance claims (via our ProSume system) in accordance with QBE Re’s Claim Guideline and Procedures to ensure a favorable outcome.
• Where necessary, conduct investigations on all assigned claims in order to provide timely and accurate facts for evaluation of each assigned claim
• Interpret the applicable insurance and reinsurance contract(s) and apply that to the exposures presented with each assigned reinsurance claim
• Complete Large Loss Reports (LLR’s) for upper management when required
• Resolve claims in a timely and fair manner and in accordance with all applicable laws, regulations and statutes
• Collaborate with QBE’s staff attorneys on coverage issues in order to formulate a strategy to achieve a favorable outcome
• Review reserves on all assigned claim files and recommend changes (ACR’s) where necessary to ensure claim and actuarial accuracy
• Collaborate with other internal Centers of Expertise in a timely manner when indicated to facilitate the delivery of superior claims outcomes
• Serve as an expert resource on complex claims or assigned claims requiring special handling
• Undertake claims resolutions activities in accordance with claims best practices and Department of Insurance (DOI) compliance to support quality claim results
• Provide the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes
• Direct, control, and manage relationships with vendors to deliver accurate, timely, and cost-effective solutions
• Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility

Benefits

• Hybrid Working – a mix of working from home and in the office
• 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
• Competitive 401(k) program with company match up to 8%
• Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
• Tuition Reimbursement for professional certifications, and continuing education
• Employee Network and Community – QBE actively supports six Employee Networks, and many ways to give back to your community

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees