AVP, Entertainment & GL Claims

Job Type:

Build a brilliant future with Hiscox
 

Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization. 

The Role: 

The AVP of Entertainment and GL Claims is an individual contributor role that, under the supervision of the VP of Casualty Claims, pro-actively manages and oversees the Entertainment and specific GL Program third-party administered claims. This person will:  

• Provide authority and technical claims guidance to TPA’s to resolve all levels of Auto, GL, and WC claims. Fully review all evaluations; fully review/analyze the policy/endorsements and coverage issue(s);  challenge the assumptions made by the TPA when necessary/warranted.
• Perform periodic audits of TPA-managed claims to ensure compliance with regard to technical aspects of claim handling and TPA oversight (Coverage, Investigation, Reserving, Litigation Management, Resolution, Diary and File Management).
• Comply with the Best Practices so that TPA’s achieve consistently fair, prompt, and professional claim handling standards that drive our claims organization towards paying what we owe as quickly as we can.
• Manage costs and scope of work to ensure TPA’s and external partners are meeting contractual service level agreements. He/she will ensure optimal expense management, litigation management, large loss, fraud, subrogation, and vendor utilization outcomes.
• Ensure TPA’s retain panel counsel when necessary; if non-panel counsel is required, authority of retention from your manager and negotiate rates per standard within the jurisdiction; document non-panel retention spreadsheet.
• Liaises and serves as point of contact with Entertainment Underwriters and external partners/brokers to resolve customer service questions.
• Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities.
• Manages and tracks TPA loss runs on a monthly basis to ensure that claim financials are accurate and properly reconciled, in conjunction with US Claims Operations.
• Represents Claims in the monthly Entertainment Underwriting meetings.
• Liaises with Actuary to provide reserving data in order to manage loss development and IBNR.
• Keeps senior claims management and stakeholders informed of key claims and issues.
• Identifies emerging exposures and claims trends, including preparation of materials for key leadership meetings, and attending meetings as a presenter when requested.
• AVP of Entertainment and GL Claims will have project management responsibility, completing special projects and assignments as assigned by the Vice President. He/she will represent Property & Casualty in other Claims projects as needed (i.e. serve as back-up, preparation and participation in Claim leadership meetings, strategy planning, etc.).
• Partners with AVPs of Property and GL Bodily Injury to assist in managing the Entertainment book.  
• Operational support will include the monitoring and analyzing of key operational performance indicators and, working with Actuarial, Finance and Compliance teams, to determine appropriate interventions to variance.
• Assist the Vice President in a leadership capacity in creating and communicating a clear vision to the Property & Casualty staff that motivates them to drive for results and ensures alignment with the broader business vision, strategy and goals. In addition, he/she will improve bench strength by identifying and developing key talent.
• Lastly, the AVP of Entertainment and GL will represent Property & Casualty beyond the direct responsibilities, playing a key role in driving the P&C strategic initiatives: Expense Management, Operational/Technical Excellence, Employee Engagement and Customer Service.

The Team:  

The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox’s strong brand built on a long history of outstanding claims handling. 

Requirements:  

• 8+ years of multi-line claims handling experience (preferably General Liability, Auto, and Workers Compensation)
• Proven ability to positively affect complex claims outcomes through investigation, negotiation and eff