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Lead Specialist, Reinsurance Claims Management

2 months ago

Alexandria, Pennsylvania, United States QBE Insurance Group Full time
Position Overview:
As the AVP, Senior Claims Manager, you will play a pivotal role in overseeing and directing the management of reinsurance claims, specifically focusing on excess of loss and proportional business within QBE Re's casualty portfolio.

Key Responsibilities:
1. Ensure accurate reporting of claims to QBE Re in alignment with reinsurance contract stipulations.
2. Assess reinsurance coverage and underlying policy terms, taking necessary actions to uphold coverage positions.
3. Conduct thorough reviews of claims for reserve adequacy, ensuring all payment requests comply with reinsurance agreements.
4. Perform on-site or remote audits of reinsurance claims as required.
5. Proactively inform Underwriters and Actuaries of any concerning trends or developments.
6. Adhere to QBE Re's internal guidelines and protocols.

Claims Management:
Manage a diverse portfolio of reinsurance claims using our ProSume system, ensuring adherence to QBE Re's Claim Guidelines and Procedures for optimal outcomes.

Investigative Duties:
Conduct investigations on assigned claims to gather timely and accurate information for evaluations.

Contract Interpretation:
Interpret relevant insurance and reinsurance contracts, applying insights to the exposures associated with each claim.

Reporting:
Prepare Large Loss Reports (LLRs) for management review when claims exceed $500,000.

Collaboration:
Work closely with QBE's legal team on coverage matters to devise strategies for favorable resolutions.

Reserve Management:
Review reserves on assigned claims and recommend adjustments to ensure accuracy for both claims and actuarial purposes.

Professional Development:
Take initiative in personal growth and career planning, enhancing skills and knowledge to add value to the organization.

Customer Care:
Deliver exceptional customer service and satisfaction while managing claims, ensuring superior outcomes.

Vendor Relations:
Manage relationships with vendors to ensure timely and cost-effective solutions.

Budget Management:
Anticipate expenditures and accurately forecast resource needs to maintain fiscal responsibility.

Qualifications:
- Bachelor's Degree or equivalent experience.
- Minimum of 7 years in the insurance sector.

Preferred Skills:
- Innovative problem-solving abilities.
- Strong financial acumen and business awareness.
- Effective negotiation and communication skills.
- Ability to adapt quickly to changing priorities.

About QBE:
At QBE, we strive to ask the right questions to foster resilience and enable our clients to navigate change effectively. We are an international insurer committed to becoming a leading risk partner, with a workforce that values collaboration and innovation. Join us in making a meaningful impact.