Claim Governance and Control Lead
2 days ago
The Claim Governance and Control Lead will be responsible for the on-going execution of the Global Claim Governance and Control Framework, supporting the Global Authorities, Global Claim Handling Policies, US based adjuster licensing process and leading efforts on various Global Claim initiatives.
You will have oversight of Claims Compliance activities across the Globe, acting as the primary liaison between Enterprise Risk Management (ERM), Internal Audit Group (IAG), Compliance, External Auditors and the Claims organization.
Key Responsibilities- Drive a strong control framework working in close collaboration with the Technical Business lines, Operations and Claim Legal.
- Align and strengthen controls for AIG Claims to ensure consistency and effective best practices designed to mitigate claim handling and operational risk.
- In collaboration with Key Stakeholders and business partners, develop and maintain Global Claim policies, standards, and controls ensuring Claims personnel have knowledge and receive training around AIG policies, standards, and controls.
- Manage and coordinate bi-annual and annual reviews of Global Claims Authorities, Major Loss Issuance Thresholds, and all other Claims controls.
- In partnership with Key Stakeholders and project leaders, develop Claim Governance framework/guardrails as required to adequately address risk arising from changes in technology or process.
- Monitor existing Claims operational control structure and ensure necessary changes to controls are made based upon audit feedback (self-audits, internal audits, PwC audits).
- Drive continuous improvement and development of Global Claim Control library/depository.
- Coordinate with various functions on business improvement programs and key remediation activities to include the monitoring and reporting of internal audit action plan status and risk event notices and analysis.
- Facilitate bi-monthly meeting with Claim Legal to discuss on going claim initiatives with focus on Global Authorities. Maintain project documentation including call notes, action items, etc. Lead program/project after-action reviews to gather post-implementation feedback and help develop continuous improvement programs/projects.
- Manage the Letter of Authority process. Deliver effective LOA review and reconciliation process to ensure LOA's accurately reflect the system authority.
- Effectively deliver improvement initiatives and projects on behalf of Claim Governance, leading projects independently and working closely with key stakeholders in delivering project plans.
- Foster working relationships with regulatory bodies and with AIG business groups in furtherance of AIG Compliance efforts. Ensure appropriate support is provided to Legal, Vendor Services, Quality Assurance, and other support groups.
- Support ongoing Claims strategic initiatives through programs that foster an environment of continuous improvement.
- Represent Claims in enterprise forums and projects to ensure global operating excellence and enhanced internal collaboration.
Proven claims experience of 7+ years handling and/or managing claims with a commercial or personal line insurance carrier.
Strong Interpersonal skills with the ability to influence change.
A claims technical and operational background that will enable you to understand the improvement opportunities identified irrespective of the line of business and be credible with key claims stakeholders & managers.
Ability to analyse information and data to identify underlying trends or issues and develop appropriate solutions. Proficiency in manipulating and interpreting MS Excel spreadsheets.
Knowledge of key regulatory and legal requirements relevant to commercial or personal line claims is a plus.
Ability to influence and collaborate effectively with senior managers across claims.
Excellent written communication skills with ability to create consistently factual, correct, high quality reports, meeting notes and supporting documentation.
Ability to lead and deliver projects on time and to as per requirements.
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