Senior Claims Specialist - Life Health Global Claims

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General Re Corporation, a subsidiary of Berkshire Hathaway Inc., is a holding company for global reinsurance and related operations, with more than 2,000 employees worldwide. It owns General Reinsurance Corporation and General Reinsurance AG, which conducts business as Gen Re.
Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries. Represented in all major reinsurance markets through a network of 38 offices, we have earned superior financial strength ratings from each of the major rating agencies.

Gen Re currently offers an excellent opportunity a Senior Claims Specialist in our Life Health Global Claims unit. This position is considered remote.

Role Description

The Senior ClaimSpecialist is responsible for the delivery of the reinsurance claim riskmanagement on multiple lines of business to both internal and external Gen Reclients. This includes, but is notlimited to, the risk assessment of reinsurance liability and may include clienttraining development and delivery, audit activities as well as representing thecompany and/or speaking at various industry conferences, as requested.

Position responsibilities include the following:

• Responsible for the timely decision making and accuracy of reinsurance determinations on multiple lines of claim submissions. Contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.
• Maintains a working knowledge of state and federal regulatory issues and keeps on the cutting edge of changes within their area of expertise.
• Deliver high levels of customer service to internal and external customers in a professional, reliable and responsive manner.
• Works with claims management to develop, prioritize and execute a claim management strategy for each assigned client.
• Responsible for influencing a variety of constituents at various levels and not within one's direct employ. Thus being accountable for the effective development, ongoing maintenance and consistent application of client claim communications and claim relationships.
• As an expert claim resource within a specific line of business, the Senior Claim Specialist may be asked to monitor national verdict/settlement trends and legal developments pertaining to their particular line of business. Researches, drafts and publishes articles and training oriented to educating clients on best practices gleaned.
• Responds to ad hoc reporting /projects from manager. Timely and accurate reporting of statistical information to management. Provides a broad range of regular (monthly/quarterly) management information in support of the Claims Department. Responsible for synthesizing a large amount of information from a variety of sources.
• May participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked.
• May participate in client meetings or with prospective accounts.

Role Qualifications and Experience

• Prior complex claims experience in insurance and/or reinsurance operations.
• Prior experience managing claims (preferably Individual Income Protection) thereby equipping the incumbent with the ability to assess reinsurer responsibility in its broadest sense (e.g. reviewing and offering risk management insights and recommendations on facultative and consultative claim submissions).
• Experience auditing claim files. Audit work of reinsured claims remotely or in client locations is an expectation. The audit process requires the ability to quickly adapt to the multitude of imaged systems in use by clients. The audit process may involve analyzing and verifying coverage and/or corresponding payments issued. The audit process may consist of managing internal and external communication with client executives in various areas such as claims, financial and legal resources, actuarial resources, etc. Thus, demonstrating an ability to emphasize and implement solutions to help clients manage risk and developing an in-depth knowledge of the management and organization of each assigned account.
• Holds insurance adjuster's license or a willingness to secure same within 1 year of hire.
• College degree preferred or equivalent business experience.
• Strong working knowledge of key coverage lines especially health (Individual Disability, Group Disability, Medicare Supplement, Stop Loss, Short Term Care, etc.) type claims.
• Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously or as an effective member of a team
• Proven critical thinking skills that demonstrate analysis/judgment, sound decision making with the ability to build effective return to work strategies and operate with attention to detail or in strategic fashion.
• Flexibility to travel for business purposes, approximately less than 10 trips per year
• Strong client relationship, influencing and interpersonal skills
• Proven initiative, prioritization, presentation and training abilities.
• Experience with and proficiency in MicroSoft Suite of Products (WORD, EXCEL, PowerPoint), Visio, PowerBI, developing and running queries etc.

Salary Range
106,000.00 - 178,000.00 USD
The annual base salary range posted represents a broad range of salaries around the US and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.

Our Address

General Reinsurance Corporation
120 Long Ridge Road
Stamford, CT 06902 (US)

At General Re Corporation, we celebrate diversity and are committed to creating an inclusive environment for all employees. It is the General Re Corporation's continuing policy to afford equal employment opportunity to all employees and applicants for employment without regard to race, color, sex (including childbirth or related medical conditions), religion, national origin or ancestry, age, past or present disability , marital status, liability for service in the armed forces, veterans' status, citizenship, sexual orientation, gender identity, or any other characteristic protected by applicable law. In addition, Gen Re provides reasonable accommodation for qualified individuals with disabilities in accordance with the Americans with Disabilities Act.