Complex Claims Analyst – Personal Lines [Direct Claims]

Department: Claims

Employment Type: Full Time

Location: USA (New Hampshire / Remote)

Description

Complex Claims Analyst – Personal Lines [Direct Claims]
 
North America – Remote/Hybrid, provided you can commute to the New Hampshire office.

East Coast Preferred

Full-Time 

We are a fast-growing global reinsurance speciality company servicing the insurance markets of Lloyd’s, Europe and North America.

In recent years, we have been expanding our North American operations, which includes integrating an exceptional new Claims team.

As a result of this growth, we are seeking an additional hands-on Direct Complex Claims Analyst to report to the Direct Technical Claims Manager. This role will involve managing Direct claims across multiple disciplines and territories. Preference will be given to candidates with experience in automobile, homeowners, personal lines, and business owner liability policies. Familiarity with Commercial General Liability is an added advantage.

Key Responsibilities

• Proactively handle complex claims to a high standard, including overall assessment of losses and reserves, and negotiation with counterparties to achieve timely settlements.
• Own the management of mid to large, complex, and disputed claims on behalf of the claims team.
• Identify and report new trends or changes in the behavior of a claims portfolio.
• Display knowledge of review and analysis of complex coverage and contract issues and understanding of underlying claims.
• Prepare appropriate coverage position analysis and engage/manage counsel if necessary.
• Identify and deliver opportunities for claims savings, both on individual claims/accounts and on a strategic basis.
• Management of complaint cases within regulatory guidelines.
• Management and oversight of TPA handled claims.
• Perform TPA audits as necessary. 
• Work with TPAs and aid with referrals and cases over their authority limits.
• Effective management of external service providers, ensuring they are acting in the best interests of Compre Group.
• Act as main contact and account manager of all assumed claims made by assigned cedent.
• Conduct on-site claim audits of ceding companies.
• Provide technical assistance for the due diligence process for new acquisitions, including the assessment of claims related risks and opportunities, reporting findings within the agreed format, and required deadlines.
• Gain a good understanding of new accounts upon acquisition, delivering against opportunities identified in due diligence.
• Act as a point of claims expertise with other internal departments to resolve queries.
• Testify on behalf of the company as a witness in arbitration/litigation when required.
• Other additional responsibilities and project work as required

Candidate requirements;

• Right to work in this location
• Minimum of 5+ years of handling complex claims and coverage experience required. 
• Four-year college degree required or equivalent work experience. 
• High level of claims handling technical experience and knowledge, providing consistently high-quality claims handling. 
• Knowledge of key terms and conditions in contracts / policies and general knowledge of key legal positions in relevant jurisdictions. 
• Effective verbal and written communication skills
• Understanding of data analysis and trends
• Good stakeholder management skills, and the ability to develop and maintain positive relationships across the business.
• Strong communication and presentation skills.
• Contributing positively to our culture and values. 

Benefits

Shortlisted candidates will be invited to an interview  If your application is successful, we will conduct relevant employment checks prior to you beginning employment with us. These will include verifying your recent employment, right to work in the relevant location and a standard criminal record check. Please note: We may close a vacancy early if the required quality or number of applications has been received.  No agencies please. Compre is a global speciality reinsurance company that offers capital and liability solutions to its clients, providing them with the certainty they need on their portfolios. We are known for being trusted partners to the market and for having a team of experts who collaborate and maintain discipline in underwriting, ensuring a differentiated client experience.  As an ambitious business, we are focused on building depth, breadth, and diversity in the talent across our business to be future-ready. Our clients' needs evolve as the market changes, which is why we continuously inve