Beazley Management Limited
Focus Group Leader - Healthcare Mgmt Liability
Beazley Management Limited, Atlanta, Georgia, United States, 30383
Job Title:
Claims Focus Group Leader - Health care mgmt Liability
Division:
Group Claims
Key Relationships:
Group Head of Claims (“GHOC”), Claims Team Head (“Head of”), Claims Team Leader (“CTL”), Claims Business Management Team (“CBMT”), Underwriting & Claims Operations (“UCO”), own staff, product team underwriters, Ceded Reinsurance, clients, brokers, and key external vendors.
Job Summary:
To support Beazley’s vision of being the highest performing specialist insurer by leading, managing, and developing a premier claims team that delivers the highest level claims service attainable for the benefit of Beazley, its clients, and other stakeholders, and ensuring consistent, fair, and efficient claims settlements. To support the development of a collaborative approach to learn, share ideas and diverse perspectives, and develop ways of working to best meet the challenges of our clients. To contribute to the ongoing growth and development of claims capabilities across the team and the mentoring and development of team members.FLSA: Exempt
Key Responsibilities:
Strategy and Business Planning
Assist the CTL to develop and execute delivery of the Beazley claims vision.
Work closely with CTL and relevant product team underwriters to achieve integrated claims and underwriting business plans for the product, including contributing to preparation and realisation of the annual claims product team business plans.
Share and develop best practices both within the focus group and where relevant with other teams.
Share information and collaborate with relevant counterparts to ensure consistency in claims handling.
Support the CTL and provide inputs into claims strategy and business planning activities as appropriate.
Partnering with Underwriting
Work closely with product team underwriters to share information, coordinate on strategies, product development, and maintain consistent approach.
Contribute to new business development and renewal opportunities by attending client meetings to explain the Beazley claims philosophy and approach to claims handling, and discussing any claims issues.
Provide Underwriting with input regarding actual or anticipated claims experience of specific clients.
Provide product team underwriters with timely input regarding perceived claims trends and developments.
Identify and raise any issues with Policy wordings.
Focus Group Team Management and Development
Manage actively direct reports including overseeing their individual performance throughout the year and as a part of the semi-annual appraisal process.
Work closely with the CTL and Culture & People to recruit, onboard, retain, and develop claims professionals of various experience levels to execute our claims strategy.
Ensure that all employees have the knowledge and the skills necessary to perform effectively in their given roles and responsibilities and have appropriate job descriptions setting out their responsibilities and reporting lines.
Advise the CTL of any resourcing needs based upon business plans, claim volumes, workloads, and segmentation.
Work with the CTL to maximize the productivity, efficiency, and quality of work of focus group members through active monitoring of claims management information (“MI”).
Ensure optimal segmentation and allocation of claims across the focus group.
Assist in providing general claims and/or specific technical training to individual team members.
Ensure all individuals within the focus group operate within approved claims authorities at all times.
Mentor focus group members and help advance training and career progression.
Individual Claims Leadership
Proactively manage claims, including escalated and high exposure claims arising in the focus group, from notification to closure.
Manage a portfolio of complex/high value claims (total value in excess of $500,000 to Beazley) including Coverage Litigation with allegations of bad faith.
Develop, iterate, document, and execute claims strategies taking into account uncertainties, key decisions, potential outcomes, and estimated associated costs.
Operate within approved claims authority at all times.
Understand and implement Beazley’s “Treating Customers Fairly” policy.
Follow at all times Beazley’s Claims Reserving Philosophy and Claims Standards.
Claims Portfolio Management/Pre-peer
Present at quarterly pre-peer review meetings where needed.
Regularly review individual claims within the focus group to ensure consistency of financials across the focus group.
Proactively oversee high profile or severity claims within focus group.
Identify claims issues and trends within the focus group and engage with the CTL and other teams as appropriate.
Ensure that claims within the focus group are appropriately assigned within the team and escalations are communicated timely to the CTL and other relevant stakeholders.
Ensure consistent handling of coverage issues across the focus group.
Advise Reinsurance and Finance of any material claims as set out in the claims authority and claims protocols and procedures.
Work with Reinsurance to effect recoveries.
Operational
Work with the CTL and CBMT to support the development of a continuous improvement culture within Claims.
Lead and manage the focus group by ensuring the effective management of claims, timely and appropriate claims settlements, and the effective management of conflicts of interest.
Ensure timely escalation and documentation of complex or high-profile claims.
Ensure prompt and timely completion of claims transactions and communication by monitoring the timelines of performance.
Work with the CTL on any claims outside the focus group’s claims authority.
Collaborate with other FGLs to ensure consistent claims handling of similar products.
Work closely with product team underwriters to ensure constructive interactions between the claims and underwriting functions.
Ensure that all claims related complaints are reported and resolved in a timely manner.
Broker and Client Relations and Thought Leadership
Work proactively to develop and manage strong relationships with key brokers and clients.
Act as primary point of escalation within the focus group.
Promote the Beazley brand of excellence and professionalism in client service.
Obtain and analyse feedback from clients and brokers on our service and use to drive continuous improvement.
Claim Data and Trend Analysis
Proactively monitor and ensure data integrity within the focus group.
Identify and communicate relevant information on claims trends to the CTL and Underwriting.
Vendor Management
Follow Beazley’s procedures for the selection and retention of third-party professionals.
Work with the CTL to execute strategy for oversight and management of external spend.
Conflicts of Interest
Adhere to Beazley’s Conflicts of Interest policy, alert the appropriate person to any potential conflicts of interest.
General
At Beazley we are committed to doing the right thing because it is the right thing to do.
Comply with Beazley procedures, policies, and regulations, including the code of conduct.
Undertake training on Beazley policies and procedures as delivered by your line manager, People & Culture, or the assurance teams.
Ensure all interactions with customers are focused on delivering a fair outcome.
Carry out additional responsibilities as individually notified.
Personal Specification:
Education and Qualifications
Graduate calibre
Skills and Abilities
Good leadership skills with the ability to influence and manage a team of professionals.
Process management skills - able to review existing processes and procedures; making recommendations for rationalisation/improvement.
General commercial and financial knowledge.
Strong communication skills – able to communicate at all levels, both verbally and in writing.
Good motivational skills – able to build and manage strong teams.
Strong focus on time management, able to manage several diverse and concurrent projects.
A demonstrable track record of strategic thinking.
Strong analytical skills with the ability to analyse financial statements, make financial assessments of claims, etc.
Hands-on implementer, able to drive through change where appropriate.
Knowledge and Experience
Experience in insurance industry, including preferably the Lloyd’s Market.
Experienced in US/international business.
Demonstrable process/project management skills.
Experience of claims management guidelines, claims processes and systems.
Client service experience gained within an insurance environment.
Experience of managing team of technically strong professionals working on diverse projects.
Experience of managing teams with a demanding and pressurised workload.
Experience of implementing process improvement, ideally within a traditional environment.
Aptitude and Disposition
Achievement orientated.
Self-motivated, flexible and enthusiastic.
High energy and personal drive.
Competencies
Problem solving.
Decisiveness.
Customer focused.
Influencing others.
Team work.
Self-starter.
Analytical thinking.
Managing resources effectively.
Technical competency and expertise.
Strong interpersonal skills.
Task focused completer/finisher.
The rewards:
The opportunity to connect and build long-lasting professional relationships while advancing your career with a growing, dynamic organization.
Attractive base compensation and discretionary performance related annual bonus.
Competitively priced medical, dental and vision insurance.
Company paid life, and short- and long-term disability insurance.
401(k) plan with 5% company match and immediate vesting.
22 days annual PTO (full-time, prorated for 1st calendar year of employment), plus paid public holidays.
Up to $700 reimbursement towards home office setup.
Free in-office lunch, travel reimbursement for travel to office, and monthly lifestyle allowance in support of your wellbeing.
The opportunity to save for, and purchase, shares of Beazley stock.
Six months fully paid parental leave, regardless of how you come to parenthood.
Company paid sabbatical up to 12 weeks after 10 years of continued service.
Support with exam/study leave and fees for relevant qualifications related to furthering education.
Up to 2.5 days matched paid leave for volunteering at a charity of your choice.
Smart working policy and flexible working culture, trusting our employees to do what works best for them, their role and the needs of the business.
Salary for this role will be tailored to the successful individual’s location and experience. The expected compensation range for this position is $160,000 - $175,000 per year plus discretionary annual bonus.
This document is subject to review after consultation with your Manager.
#J-18808-Ljbffr
Claims Focus Group Leader - Health care mgmt Liability
Division:
Group Claims
Key Relationships:
Group Head of Claims (“GHOC”), Claims Team Head (“Head of”), Claims Team Leader (“CTL”), Claims Business Management Team (“CBMT”), Underwriting & Claims Operations (“UCO”), own staff, product team underwriters, Ceded Reinsurance, clients, brokers, and key external vendors.
Job Summary:
To support Beazley’s vision of being the highest performing specialist insurer by leading, managing, and developing a premier claims team that delivers the highest level claims service attainable for the benefit of Beazley, its clients, and other stakeholders, and ensuring consistent, fair, and efficient claims settlements. To support the development of a collaborative approach to learn, share ideas and diverse perspectives, and develop ways of working to best meet the challenges of our clients. To contribute to the ongoing growth and development of claims capabilities across the team and the mentoring and development of team members.FLSA: Exempt
Key Responsibilities:
Strategy and Business Planning
Assist the CTL to develop and execute delivery of the Beazley claims vision.
Work closely with CTL and relevant product team underwriters to achieve integrated claims and underwriting business plans for the product, including contributing to preparation and realisation of the annual claims product team business plans.
Share and develop best practices both within the focus group and where relevant with other teams.
Share information and collaborate with relevant counterparts to ensure consistency in claims handling.
Support the CTL and provide inputs into claims strategy and business planning activities as appropriate.
Partnering with Underwriting
Work closely with product team underwriters to share information, coordinate on strategies, product development, and maintain consistent approach.
Contribute to new business development and renewal opportunities by attending client meetings to explain the Beazley claims philosophy and approach to claims handling, and discussing any claims issues.
Provide Underwriting with input regarding actual or anticipated claims experience of specific clients.
Provide product team underwriters with timely input regarding perceived claims trends and developments.
Identify and raise any issues with Policy wordings.
Focus Group Team Management and Development
Manage actively direct reports including overseeing their individual performance throughout the year and as a part of the semi-annual appraisal process.
Work closely with the CTL and Culture & People to recruit, onboard, retain, and develop claims professionals of various experience levels to execute our claims strategy.
Ensure that all employees have the knowledge and the skills necessary to perform effectively in their given roles and responsibilities and have appropriate job descriptions setting out their responsibilities and reporting lines.
Advise the CTL of any resourcing needs based upon business plans, claim volumes, workloads, and segmentation.
Work with the CTL to maximize the productivity, efficiency, and quality of work of focus group members through active monitoring of claims management information (“MI”).
Ensure optimal segmentation and allocation of claims across the focus group.
Assist in providing general claims and/or specific technical training to individual team members.
Ensure all individuals within the focus group operate within approved claims authorities at all times.
Mentor focus group members and help advance training and career progression.
Individual Claims Leadership
Proactively manage claims, including escalated and high exposure claims arising in the focus group, from notification to closure.
Manage a portfolio of complex/high value claims (total value in excess of $500,000 to Beazley) including Coverage Litigation with allegations of bad faith.
Develop, iterate, document, and execute claims strategies taking into account uncertainties, key decisions, potential outcomes, and estimated associated costs.
Operate within approved claims authority at all times.
Understand and implement Beazley’s “Treating Customers Fairly” policy.
Follow at all times Beazley’s Claims Reserving Philosophy and Claims Standards.
Claims Portfolio Management/Pre-peer
Present at quarterly pre-peer review meetings where needed.
Regularly review individual claims within the focus group to ensure consistency of financials across the focus group.
Proactively oversee high profile or severity claims within focus group.
Identify claims issues and trends within the focus group and engage with the CTL and other teams as appropriate.
Ensure that claims within the focus group are appropriately assigned within the team and escalations are communicated timely to the CTL and other relevant stakeholders.
Ensure consistent handling of coverage issues across the focus group.
Advise Reinsurance and Finance of any material claims as set out in the claims authority and claims protocols and procedures.
Work with Reinsurance to effect recoveries.
Operational
Work with the CTL and CBMT to support the development of a continuous improvement culture within Claims.
Lead and manage the focus group by ensuring the effective management of claims, timely and appropriate claims settlements, and the effective management of conflicts of interest.
Ensure timely escalation and documentation of complex or high-profile claims.
Ensure prompt and timely completion of claims transactions and communication by monitoring the timelines of performance.
Work with the CTL on any claims outside the focus group’s claims authority.
Collaborate with other FGLs to ensure consistent claims handling of similar products.
Work closely with product team underwriters to ensure constructive interactions between the claims and underwriting functions.
Ensure that all claims related complaints are reported and resolved in a timely manner.
Broker and Client Relations and Thought Leadership
Work proactively to develop and manage strong relationships with key brokers and clients.
Act as primary point of escalation within the focus group.
Promote the Beazley brand of excellence and professionalism in client service.
Obtain and analyse feedback from clients and brokers on our service and use to drive continuous improvement.
Claim Data and Trend Analysis
Proactively monitor and ensure data integrity within the focus group.
Identify and communicate relevant information on claims trends to the CTL and Underwriting.
Vendor Management
Follow Beazley’s procedures for the selection and retention of third-party professionals.
Work with the CTL to execute strategy for oversight and management of external spend.
Conflicts of Interest
Adhere to Beazley’s Conflicts of Interest policy, alert the appropriate person to any potential conflicts of interest.
General
At Beazley we are committed to doing the right thing because it is the right thing to do.
Comply with Beazley procedures, policies, and regulations, including the code of conduct.
Undertake training on Beazley policies and procedures as delivered by your line manager, People & Culture, or the assurance teams.
Ensure all interactions with customers are focused on delivering a fair outcome.
Carry out additional responsibilities as individually notified.
Personal Specification:
Education and Qualifications
Graduate calibre
Skills and Abilities
Good leadership skills with the ability to influence and manage a team of professionals.
Process management skills - able to review existing processes and procedures; making recommendations for rationalisation/improvement.
General commercial and financial knowledge.
Strong communication skills – able to communicate at all levels, both verbally and in writing.
Good motivational skills – able to build and manage strong teams.
Strong focus on time management, able to manage several diverse and concurrent projects.
A demonstrable track record of strategic thinking.
Strong analytical skills with the ability to analyse financial statements, make financial assessments of claims, etc.
Hands-on implementer, able to drive through change where appropriate.
Knowledge and Experience
Experience in insurance industry, including preferably the Lloyd’s Market.
Experienced in US/international business.
Demonstrable process/project management skills.
Experience of claims management guidelines, claims processes and systems.
Client service experience gained within an insurance environment.
Experience of managing team of technically strong professionals working on diverse projects.
Experience of managing teams with a demanding and pressurised workload.
Experience of implementing process improvement, ideally within a traditional environment.
Aptitude and Disposition
Achievement orientated.
Self-motivated, flexible and enthusiastic.
High energy and personal drive.
Competencies
Problem solving.
Decisiveness.
Customer focused.
Influencing others.
Team work.
Self-starter.
Analytical thinking.
Managing resources effectively.
Technical competency and expertise.
Strong interpersonal skills.
Task focused completer/finisher.
The rewards:
The opportunity to connect and build long-lasting professional relationships while advancing your career with a growing, dynamic organization.
Attractive base compensation and discretionary performance related annual bonus.
Competitively priced medical, dental and vision insurance.
Company paid life, and short- and long-term disability insurance.
401(k) plan with 5% company match and immediate vesting.
22 days annual PTO (full-time, prorated for 1st calendar year of employment), plus paid public holidays.
Up to $700 reimbursement towards home office setup.
Free in-office lunch, travel reimbursement for travel to office, and monthly lifestyle allowance in support of your wellbeing.
The opportunity to save for, and purchase, shares of Beazley stock.
Six months fully paid parental leave, regardless of how you come to parenthood.
Company paid sabbatical up to 12 weeks after 10 years of continued service.
Support with exam/study leave and fees for relevant qualifications related to furthering education.
Up to 2.5 days matched paid leave for volunteering at a charity of your choice.
Smart working policy and flexible working culture, trusting our employees to do what works best for them, their role and the needs of the business.
Salary for this role will be tailored to the successful individual’s location and experience. The expected compensation range for this position is $160,000 - $175,000 per year plus discretionary annual bonus.
This document is subject to review after consultation with your Manager.
#J-18808-Ljbffr