Claims Specialist - Life 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 for a Claims Specialist in our Life Health Global Claims unit to work remotely based out of our Stamford, CT office.

Role Description

The Claim Specialist is responsible for the delivery of
the reinsurance claim risk management on multiple lines of business to both
internal and external Gen Re clients.  This includes, but is not limited
to, the risk assessment of reinsurance liability and may include client
training development and delivery, audit activities as well as representing the
company and/or speaking at various industry conferences, as requested.

Responsibilities:

• Responsible
  timely decision making and accuracy of reinsurance determinations on
  multiple lines of claim submissions. Incumbent 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 the incumbent’s area of expertise.
• Deliver
  high levels of customer service to internal and external customers in a
  professional, reliable and responsive manner.
• The
  incumbent 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
  communications and relationships.
• As an
  expert claim resource within a specific line of business, the Claim
  Specialist monitors national verdict/settlement trends and legal
  developments pertaining to their particular line of business. The
  incumbent 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 claims
  experience in insurance and/or reinsurance operations.
• Prior experience
  managing claims (preferably LTC or 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
• Strong working
  knowledge of key coverage lines especially health (Long Term Care,
  Individual Disability) type claims
• Strong written and
  verbal communication skills
• 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 and sound decision
  making with focus on attention to detail
• 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, Power BI, developing and running queries etc.

Salary Range

91,000.00 - 152,000.00 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 Corporate Headquarters Address

General Reinsurance Corporation
400 Atlantic Street, 9th Floor
Stamford, CT 06901 (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.