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QBE Insurance · 4 months ago

Lead Casualty Treaty Claims Specialist

New York, NY

Full-time

Hybrid

Mid, Senior Level

$126K/yr - $189K/yr

5+ years exp

QBE Insurance is seeking a Lead Casualty Treaty Claims Specialist to oversee and manage reinsurance claims related to casualty and property. The role involves ensuring claims are reported accurately, conducting audits, and collaborating with internal and external partners to deliver quality claims service.

Insurance

No H1B

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

Qualification

Reinsurance Claims ExperienceClaims AuditingInsurance Contract InterpretationFinancial AcumenCasualty Insurance KnowledgeProperty Insurance KnowledgeTeam DevelopmentRegulatory ComplianceRisk ManagementProject DeliveryManaging PerformanceConflict ResolutionCritical ThinkingMentorshipIntentional CollaborationPersonal Initiative

Required

Bachelor's Degree or equivalent combination of education and work experience

5+ years of Reinsurance Claims Experience and/or 10+ years of primary insurance claims experience

Preferred

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

Bachelor's Degree or equivalent combination of education and work experience

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