As a member of Swiss Re Workers' Compensation North America Claims team you will be responsible for your own docket of challenging run off excess work comp and work comp claims. From time to time, you may be responsible for managing virtual project teams tasked with evaluating reserve sufficiency and claim department processes/procedures for portfolio acquisition opportunities. You will also be responsible for identifying and implementing sound strategies to profitably run-off the existing portfolio and any acquired portfolios.
The excess work comp book features an indemnification policy under which the insured may become eligible for reimbursement of moneys paid on the underlying work comp claim, subject to the policy provisions. With limited supervision, but ample support, you will be expected to manage your claims from initial report through final resolution - including each step in between.
On acquired portfolios, the claims expert will also be the portfolio manager. You must actively manage a newly acquired portfolio with the responsibility for overseeing the TPA's claim handling of the claims and for loss cost management and mitigation.
Swiss Re is an experienced group of insurance professionals who seek to understand and meet the needs of our insureds and brokers by providing the highest quality customer service.
Our claim professionals interact with our insureds, brokers, attorneys and various work comp experts; provide direction to defense and coverage counsel; develop resolution strategies; and take an active role in mediations, settlement conferences and other dispute resolution processes.
You possess strong negotiation skills as well as the ability to deal with insureds and their attorneys in the settlement of disputed claims. You bring excellent interpersonal skills and the ability to be creative in mitigation strategies. Strong written and verbal communication skills accompany your instinct for problem-solving and collaboration.
Additional requirements include:
Familiarity with and understanding of excess work comp and/or work comp policies and practices in US.Experience handling excess work comp and/or work comp claims, 10 plus years of experience as a claim handler is preferred. Legal background could be a suitable substitute for claims experience.
Strong California knowledge is necessary.Proficiency in Microsoft applications, especially ExcelAbility to work effectively in various computer environments and systemsTexas Adjusters License, AIC, or CPCU would be beneficial
Travel requirements average 10%
About Swiss Re
Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.
Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.
Swiss Re is an equal opportunity employer. It is our practice to recruit, hire and promote without regard to race, religion, color, national origin, sex, disability, age, pregnancy, sexual orientations, marital status, military status, or any other characteristic protected by law. Decisions on employment are solely based on an individual's qualifications for the position being filled.
During the recruitment process, reasonable accommodations for disabilities are available upon request. If contacted for an interview, please inform the Recruiter/HR Professional of the accommodation needed.