Claims Manager - Life and Health

The Claims Manager in Life Global Claims oversees the unit claims business, including the protection of Gen Re’s fiduciary interest. The incumbent is an expert claims resource with comprehensive claim knowledge and experience. Managerial duties include hiring as well as overseeing performance and development of employees. As a senior claim resource, the incumbent also acts as a teacher, developer, mentor and leader in the Unit and the claims department.

Responsibilities:

• Human Resources:  The Claims Manager completes performance appraisals, provides salary planning recommendations and implements training/educational plans for the Unit. Additionally, the incumbent manages the interviewing, hiring and performance management.
  
• Claims Leadership & Expertise:    The Claims Manager is expected to demonstrate superior analytical and claim handing skills and to have strong knowledge of changes in case law, jurisdictions, coverage, and recognition of exposures for timely financial reporting purposes.  The Claims Manager acts as a senior resource, teacher and technical claim advisor to the team and others within the Global Claims LH Organization.
  
• Performance Standards & Goals:  The Claims Manager is expected to set the tone for the unit’s performance via team and individual goals and client centric activity. Existing and potential future client relationship management, trend analysis and proactive inventory management, along with the establishment of and adherence to proper claim controls is the responsibility of the Claims Manager. The incumbent also is responsible for the development and implementation of process improvements and workflow within the product lines assigned.
  
• Professional Development:  The Claims Manager oversees the professional development of the staff. The incumbent ensures individuals have the necessary skills and developmental opportunities to continually meet the business needs of the Unit, Department and Division.
  
• Unit Management:  The Claims Manager coordinates all administrative and procedural aspects of the Unit. The incumbent acts as the unit champion and fosters a supportive and results oriented environment. As the unit leader, incumbent manages the unit in accordance with all Gen Re policies, procedures, philosophies, and goals.
  
• Regulatory:  The Claims Manager is responsible for ensuring overall compliance with various reporting and auditing of controls.
  
• Claim Management Reporting:  The Claims Manager partners with his/her internal constituents to ensure claims data collected is analyzed and claim statistics reported to senior management in a timely, proactive, consolidated and solution-oriented fashion.
  
• Responsible for managing multiple work streams and influencing a variety of constituents at various levels, not solely within one’s direct employ.
  
• Accountable for the effective development, ongoing maintenance and consistent application of client communications and relationships. The Claims Manager is a client facing position with accountability to ensure his/her staff is visible and present in the reinsurance work performed.
  
• Flexibility to travel frequently and on short notice.
  
• Incumbent ensures appropriate representation occurs in the industry conference work that may require committee representation, networking with client, hosting client events oriented at the claims discipline, effective delivery of presentation material and travel on short notices.

• Prior experience managing claims and people.
  
• Broad understanding of insurance/reinsurance life cycle and intersection with claims.
  
• Ability to perform complex multitasking with short/medium/long term deadlines – with need for contingencies.
  
• Analytical, strategic, and organized thinker with demonstrated ability to deliver results.
  
• Proven ability to develop staff, resource allocation and planning.
  
• Exposure to managing people and claims in multiple products lines.
  
• Demonstrated leadership abilities.
  
• Highly refined analytical skills and business acumen.
  
• Demonstrated abilities to operate strategically or tactically depending on the situation at hand.
  
• Strong claim technical abilities. Prior experience with claim audit activity. Audit work of reinsured claims 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.
  
• Exceptional communication and presentation skills. Ability to work as a member of a team or independently. Similarly, strong oral and written communication skills are required. Proven ability to analyze and problem solve client needs, system failures and strategy projections.
  
• College degree (preferred) or equivalent work experience