AVP North America A&H Claims

3 weeks ago

Wilmington, United States CareerBuilder Full time

Dallas, TX / Wilmington, DE / Chesapeake, VA

| Onsite

We are engaged by a global insurance carrier who are seeking an A&H Claims AVP. The role is focused on claim execution and outcomes, best practices development, and in building strategic capabilities. The ideal candidate will need to understand the various products associated with the Enhanced Banking credit card programs. Key aspects of the job include being responsible for driving the delivery of customized claim account management which includes the technical and business relationship needs of the customer, producer, and internal business division that produces the business.

Responsibilities:

Provide oversight and direction for overall claims quality, outcomes, and customer service of the enhanced banking program

Work as part of a team to review and respond to all Enhanced Banking claim referrals

Leverage data to understand performance and production, drive key audits, identify trends, determine service/quality gaps, and develop specific tactics and strategies to resolve issues

Manage all vendor relationships and ensure their performance meets or exceeds best practices and SLAs, cost containment, and quality assurance

Assist with TPA contracts and business placement to align with business goals and objectives

Ensure that the claim platform features/experiences are measured, requirements defined, and capabilities delivered based upon a clear strategic vision and roadmap

Ensure the functional performance of the claims operation by leading and supporting the development and implementation of claims best practices, operating models, and customer service standards

Ensure the A&H/Life/Enhanced Banking Claims Strategy is aligned with business plans, needs and priorities

Develop and implement strategies for the effective reserving and handling of claims to achieve service delivery excellence

Identify ways that claims processes can generate data useful to the pricing, segmentation, and management of our business. Work with underwriting, actuaries, and IT leaders to improve granularity, quality, and accessibility of claim data

Monitor and analyze changes in the legal and regulatory claims environment. Communicate trends and developments to executive leadership

Ensure a competent and motivated staff through hiring, training, retaining, directing, and mentoring of the claims staff

Build strong relationships with key internal/external business partners

What we're looking for:

Bachelors degree. A MBA, Masters Degree, or J.D. is a plus.

Recognized Industry Claim Designations Preferred and Adjuster Licenses

At least 5+ years claims and people leader experience across multiple product lines and distribution channels, preferably including Accident & Health/Life/Enhanced Banking including credit card benefits

Multi-lined claim background, including Workers Compensation or General Liability is a plus

Highly data literate with strong analytical skills

Proven effective leadership, people management, interpersonal, collaboration, written communication, and oral communication skills

Proven track-record of driving operational efficiencies, claim outcomes, and exemplary customer service

Financially astute as well as demonstrated strong decision-making and prioritization skills

The ability to work in a complex, fast paced, and matrixed environment

A thorough knowledge of global insurance products, contracts, regulatory languages, and claims practices and operations

Demonstrated ability to set and meet challenging objectives derived from and in support of strategic goals.

Experience working with claims in international markets preferred

Ability to adapt and embrace change

Excellent verbal/written communication and executive presentation skills

Willingness to travel approximately 30%

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