AVP Senior Claims Analyst - Professional Liability / Medical Malpractice
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AVP Senior Claims Analyst - Professional Liability / Medical MalpracticeAVP Senior Claims Analyst - Professional Liability / Medical Malpractice

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Principal - Recruiting and Staffing at Garrison Associates

Leading writer of Property & Casualty Reinsurance seeking an AVP, Senior Claims Analyst in their NY office supporting their Professional Liability / Medical Malpractice claims business. I have been supporting this client for 20+ years, and I can sincerely say they have the best, most employee centric, corporate culture of any client I've worked with. Their global team shares a passion for solving their customers' problems through a collaborative and entrepreneurial culture that empowers employees and rewards creative thinking.

This is a 4 day per week in office position (with a flex work from home day) located in midtown Manhattan very close to all major transportation hubs.

For over three decades, the firm has helped its clients manage the risks of operating in a volatile and uncertain world. They're experts in Property, Casualty, Specialty, Cyber and Credit reinsurance, consistently recognized for the innovative way they combine data, experience and technology to understand and manage large and complex risks across the world. They are also a business with a real social purpose - we help protect communities around the globe and enable prosperity for all. Our purpose drives us forward every day as we seek solutions to some of the world's most complicated challenges.

POSITION SUMMARY:

The AVP, Senior Claims Analyst is responsible for, but not limited to analyzing, and processing claims under the applicable (re)insurance contracts, performing claims audits, providing analysis to underwriters and reserving actuaries, and participate in and lead collaborative projects in support of other areas of the company, including finance, actuarial, operations and technology. This role will lead/support with the preparation of management reporting on respective claims activities. In addition, the AVP, Senior Claims Analyst supports the Underwriters on any claims related interactions with cedents and brokers.

PRINCIPAL ACCOUNTABILITIES:

Primarily responsible for the handling of Professional Liability including Medical Malpractice claims, with a focus on moderate to highly complex matters but also assist as needed handling other casualty and property claims arising out of the U.S reinsurance operations.

• Investigate, handle and seek to resolve all claims in accordance with company standards and procedures.
• Build and maintain relationships with key brokers and internal and external stakeholders.
• Ensure claims systems are kept up to date in a timely manner.
• Promote compliance with best practice for all aspects of claims management.
• Support with developing (re)insurance knowledge within team.
• Actively participate in renewal meetings with Underwriters as required.
• Provide feedback to Underwriters from a Claims perspective.
• Participate in client visits and audits as required.
• Represent the company at market meetings and on market committees and attend company sponsored training events.
• Ensures all handled claims are properly processed and reserved. Ensures alignment and compliance with Global reserving practices and strategy.

Support with evaluating, training, advising, and mentoring the claims staff and providing technical expertise to the claims and underwriting process that will enable underwriters and actuaries to better assess and rate their contracts and submissions.

Strategic Projects

Seeks outs and explores new opportunities for process improvement and enhancement at the local level and propose solutions to improve the efficiency of the functional area.

EXPECTED COMPETENCIES:

• A university degree preferred, or comparable relevant experience.
• A professional qualification preferrable (CPCU, AIC, or similar).
• At least 7 to 10 years prior Professional Lines reinsurance/insurance claims handling experience.
• Medical Malpractice claims experience would be a major plus
• Fully proficient, has in-depth knowledge, works independently on moderate to highly complex insurance/reinsurance coverage matters.
• Familiarity with and ability to conduct client claim audits independently including all pre and post audit activities, feedback, and reports.
• Utilizes solid technical competence to achieve exemplary results and to manage and resolve issues.
• Seeks out and explores new assignments, exposure, or challenges to enhance technical skills.
• Meets industry standards routinely and offers improvement suggestions.
• Proactively identifies resources, actions and timelines needed to achieve objectives.
• Delegates responsibilities where appropriate and follows up to ensure results are delivered.
• Effectively balances day-to-day tactical pressures without losing sight of the big picture and considering the broader implications of work and larger operating environment.
• Shares resources appropriately and balances the needs of the total department with individual goals and priorities.
• Conveys points of view/positions in a way that influences opinions and demonstrates flexibility in adapting personal style to different individuals.
• Proactively shares relevant information to keep others in the loop on important issues, updates, priorities, new developments, and results.
• Makes improvements of processes, systems, products, or solutions to enhance performance of the department or job area.
• Provides regular coaching and feedback; recognizes high performance.
• Sees and demonstrates the value of ongoing training and development by sharing knowledge and teaching and applying new skills.
• Responds to and troubleshoots moderate to highly complex inquiries/issues, both internally and externally.
• Applies knowledge globally.
• Identifies resources, actions and timelines needed to achieve objectives.
• Proficient with Excel and spreadsheets specifically with the use of pivot tables, etc.
• Knowledge of US GAAP, other relevant GAAP, or regulatory reporting requirements as applicable.
• Experience with public companies and SOX 404 is advantageous.
• Proficiency in the use of computer applications (Microsoft Office Suite, etc.)

Additional requirements:

Candidates are required to have detailed knowledge and experience of claims handling processes and practices, in addition to having a detailed understanding of the legal landscape relevant to their jurisdiction.

In addition, candidates are required to have detailed knowledge and understanding both of technical claims matters and legal aspects for those jurisdictions where it anticipated claims will arise (US/Continental Europe/UK/Asia Pacific - dependent upon role location).

Seniority level

• Seniority levelMid-Senior level

Employment type

• Employment typeFull-time

Job function

• Job functionOther
• IndustriesInsurance

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Disability insurance

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