Senior Claim Manager - Accident and Health

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Senior Claim Manager - Accident and Health
The candidate is responsible for all aspects of the Accident and Health’s claims. Serves as a point of contact for underwriting business partners, brokers, and insureds and may participate as member of business partners’ management team. Analyzes and communicates overall claim results for the business segment and achievement of business segment objectives. Responsible for operational and administrative support of claim handling operation, possibly in multiple locations. Reviews and provides direction on complex and/or high exposure claims, often in multiple lines of business and jurisdictions. Develops feedback and claim reports to ensure compliance with regulatory requirements, customer satisfaction and achievement of corporate objectives. Possesses very high reserving authority in the organization and is often the conduit with others on high exposure claims. Plans and executes strategic planning and achievement of goals for claims, through input in large loss conferencing. May include direct claim handling of largest exposures, analysis of claims results, and robust feedback to underwriting. Creates annual operational goals and objectives for claim handling. Manages the relationship with the vendor that handle Occupational Accident Claims for OneBeacon and the staff assigned to handle these claims. Supports the business with analysis of claim trends, training on claim developments and coverage, input on form development, marketing support, participation in business management meetings, and support of business initiatives. Ensures overall reserving activity of operation is consistent with corporate policy. Oversees settlement evaluations and grants authority where settlement requests exceed staff requests. Assists in the development and manages the operating budget ensuring all financial goals are being met. Responsible for cost containment and expenses related to all claim files within the unique claims operation. Oversees all human resource activities including hiring and firing of all personnel, development, mentoring of management team, etc. Anticipates and meets all customer needs (internal and external). Strong claims technical knowledge. Knowledge of multiple jurisdictions and lines of business. Excellent verbal and written communication skills are necessary, especially regarding negotiation. Demonstrated proficiency with computer software including Microsoft Office suite and other Claims tracking tools. Bachelor’s degree required; JD preferred. 7-10 years of commercial, specialty claims experience or related education/ insurance experience. 3-5 years of management experience required. 5 years of Workers Compensation, Commercial Liability, Coverage Dispute / Investigation, Accident and Health Claims experience highly preferred.

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