RiverStone · 2 weeks ago
Senior Claims Analyst
Manchester, NH, US
Full-time
Hybrid
Senior Level
5+ years expRiverStone is a company focused on claims management, and they are seeking a Senior Claims Analyst to handle multi-line commercial claims with a focus on New York Labor Law. The role involves investigation, evaluation, and management of claims, as well as mentoring less experienced analysts and developing claims handling strategies.
Financial ServicesInsurance
Responsibilities
In addition to the essential functions of a Complex Claim Analyst, the Senior Claim Analyst handles more complex cases and/or industry specific cases that include higher exposure with an increase in severity and complexity
Mastery of the Complex Claim Analyst functions and Company’s and Client’s systems
Anticipates and identifies risks and opportunities on coverage and liability
Mentors and guides less experienced claim analysts
Assists the Unit Manager with departmental problem solving
Manage external relationships including third party administrative oversight
Serves on Companywide committees and projects assigned
Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims
Reviews loss notices; confirms and interprets policy coverage; establishes adequate reserves; and investigates and handles claims involving primary, umbrella and excess policies
Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures
Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language
Assigns and manages work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negotiations
Ensures proper file setup, reserving, general handling and application of company procedure
Participates in developing claims handling strategies, including defense coordination, litigation strategy and budgets, and expense control
Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records
Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to our Reinsurance Department to assist in providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention
Handles large volume of diverse and dynamic claims effectively
Empowered to make decisions within job description and authority. Seeking guidance where appropriate
Develop creative ideas and solutions to real-time business problems and /or business opportunities; Takes reasonable, calculated risks even if failure is possible
Empowers self and teammates to continuously improve Company’s business processes/systems and develops and escalates ideas and solutions
Seeks continuous development by identifying areas for growth and improvement. Works with team to implement process and technical improvements
Consistently delivers superior customer service to both internal and external business partners
Understands Key Performance Indicators and manages towards those priorities
Perform special projects and assignments related to area of authority as necessary
Maintains confidentiality
Establishes and maintains professional relationships
Assists in Due Diligence inquiries as assigned
Obtains and maintains claims adjuster licenses in those states requiring them
Qualification
Required
Minimum of 5 years of claims handling experience or a related field
Four-year college degree required or equivalent work experience
Preferred
JD, CPCU, SCLA, CCLA
Company
RiverStone
We Deliver RiskSmart Run-Off(R) Solutions With Global Reach Aligning risk with the need for capital efficiency and greater business focus is a key challenge for insurers and reinsurers.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Debbie Irving
Executive Vice President & Chief Financial Officer
Bob Sampson
Executive Vice President, Chief Claims Officer at The RiverStone Group
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