Executive Director, Claims Consultant
Reinsurance Group of AmericaAbout the role
You desire impactful work.
You’re RGA ready
RGA is a purpose-driven organization working to solve today’s challenges through innovation and collaboration. A Fortune 200 Company and listed among its World’s Most Admired Companies, we’re the only global reinsurance company to focus primarily on life- and health-related solutions. Join our multinational team of intelligent, motivated, and collaborative people, and help us make financial protection accessible to all.
Brief Overview
Leads and mentors US Individual Life technical claims consultants and other associates providing the business and claim expertise required to ensure appropriate client service, internal controls, client claim audits, process improvement, and claims management practices related to claim processing. Assist in establishing strategic plans, objectives, goals and processes to ensure claims practices are competitive, effective and protective of RGA Re's long-term success. Develops positive relationships with customers and potential customers to improve claim and case management practices.
What you will do
Directs and leads the activities of the US Individual Life technical claims consultants and other claim associates, assuring thorough review of selected claims, timely reporting and prompt, efficient service to client companies.
Performs external client audits to verify accuracy of claims adjudication practices and to ensure compliance with the terms of the treaty(ies).
Directs and supports the management of claim practices to ensure identification and resolution of unfavorable trends in ceding company claims handling. Ensures claims practices and procedures are developed to minimize exposure to undesirable or unanticipated outcomes and provide superior client service.
Leads and manages claim and case management issues and practices, including TPA oversight.
Oversees development of strong relationships with internal and external customers including other business units to ensure accurate administration and management of reinsured claims.
Manages analyzes of customer competencies, knowledge and claim outcomes to identify and provide any of the following client value-added services: individual claim analysis/planning, focused operational assessments, ad hoc training/presentations, roundtable discussions and special projects. Provides detailed reports of findings to customers.
Designs and implements claim services plans to maintain strong customer relationships.
Mentors associates through development and implementation of training plans, coaching, and allocation of resources. Fosters a positive and engaged work environment.
Represents RGA Re, as an expert in reinsurance claims expertise, at industry meetings and exercises influence, as appropriate, with customers and potential customers. Manages budget for RGA sponsored conferences.
Manages claim value-added services through evaluation and development of new services, cost/benefit analysis, and vendor identification and selection. Assists in product development for reinsurance customers.
Functions as claims expert for claim settlements and litigation. Recommends means to mediate or resolve issues.
Provides expertise for internal reinsurance treaty and customer policy/plan development.
Performs claim analysis and due diligence on new business opportunities. Represents RGA as claim expert at customer presentations.
Develops a thorough understanding of RGA global and local claim philosophy. Develop strong links and partnerships with international function heads and utilize international network of resources to improve communication and knowledge transfer.
Qualifications
Bachelor's Degree or equivalent related experience :required
8+years individual life claims experience and 5+ years in a supervisor or management role: required
Accreditation or certification in Insurance Industry fields, such as ALHC, FLHC, CFE: preferred
Recognized in the Industry as a claims expert: preferred
Prior claim or quality auditing experience: preferred
Intermediate Word, Outlook, and Excel skills
Advanced ability to comprehend and interpret insurance and contract documents
Advanced knowledge of insura
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