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Assistant Vice President, Senior Claims Manager
2 months ago
As the AVP, Lead Claims Specialist, you will play a pivotal role in overseeing and managing reinsurance claims related to 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 provisions, taking necessary actions when required.
3. Review claims for reserve adequacy and validate claim payment requests to ensure compliance with reinsurance agreements.
4. Conduct on-site or remote audits of reinsurance claims as needed.
5. Notify Underwriters and Actuaries of any emerging adverse trends or developments.
6. Uphold compliance with QBE Re's internal policies and procedures.
Claims Management
Manage a diverse portfolio of reinsurance claims using our ProSume system, ensuring adherence to QBE Re's Claims Guidelines and Procedures for optimal outcomes.
Investigative Duties
When necessary, perform investigations on assigned claims to gather timely and accurate information for evaluation.
Contract Interpretation
Interpret relevant insurance and reinsurance contracts, applying insights to the exposures presented by each claim.
Reporting
Prepare Large Loss Reports (LLRs) for senior management when claims exceed $500,000.
Collaboration
Work closely with QBE's legal team on coverage matters to devise strategies for favorable resolutions.
Reserve Review
Regularly review reserves on assigned claims and recommend adjustments to ensure accuracy.
Expertise Development
Take ownership of your professional growth and skill development to continuously enhance your contributions to the organization.
Customer Care
Deliver exceptional customer service and responsiveness in managing claims to achieve superior outcomes.
Vendor Management
Direct and manage relationships with vendors to ensure timely and cost-effective solutions.
Budget Management
Effectively manage resources by anticipating costs and accurately forecasting 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 awareness of responsibilities.
- Effective negotiation and communication skills.
- Experience in managing Casualty Lines claims.
About QBE
At QBE, we strive to enable a resilient future by supporting our customers and communities. With a workforce of over 12,000 across 27 countries, we are committed to fostering a collaborative and inclusive environment where every team member contributes to our shared success.