Lead Casualty Treaty Claims Specialist

Primary Details

Time Type:
Full time – Worker Type:
Employee

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).

• Location: Ny
  - New York City
• Work Arrangement: Hybrid (2-3 days in the office)
• Salary Range: $126,000 – $189,000 depending on experience

• Complete on-site or remote reinsurance claim audits when necessary.
• Deliver quality claims service to our internal underwriters, actuaries, and external partners (Brokers and Cedent's).
• Manage a portfolio of reinsurance claims via our Pro Sume system in accordance with QBE Re's Claim Guideline and Procedures to ensure a favorable outcome.
• Conduct investigations on all assigned claims to provide timely and accurate facts for evaluation.
• Interpret applicable insurance and reinsurance contracts and apply them to the exposures presented with each assigned reinsurance claim.
• Prepare Large Loss Reports (LLR’s) for upper management when required.
• Resolve claims in a timely and fair manner in accordance with all applicable laws, regulations and statutes.
• Collaborate with QBE's staff attorneys on coverage issues to formulate a strategy for 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 resolution activities in accordance with 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.

• 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.

• Generate original, innovative solutions to difficult or unusual situations.
• Identify and locate information and facts necessary for evaluating a claim.
• Financial and business acumen and awareness of financial responsibility.
• Quickly change direction when working on multiple projects or issues.
• Guide the team to properly document investigation findings and preserve evidence in accordance with laws and procedures.
• Use logic and reasoning to identify strengths and weaknesses of alternative solutions.
• Assume a methodical approach to a given situation and develop a systematic procedure.
• Develop effective negotiation strategies and prepare a plan of action.
• Build and capitalize on beneficial internal and external relationships.
• Coach and encourage employees toward continuous improvement and mentor them with feedback and career advice.
• Build and establish constructive, 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.
• Working…