What can you expect in this role?
- Work with insurance Claims VPs & Directors, Actuarial and Insurance Risk teams to drive insurance claims handling insights and impact while supporting Claims in their action planning and resolution.
- Lead a team of highly technical and/or professionally insurance designated staff while promoting a strong risk and control environment
- Develop and manage the insurance claims technical file review program
- The daily responsibilities of this role include significant stakeholder engagement, collaboration and problem solving.
- Ensure all reviewers (Claims Leaders, Claims Technical Advisors, Claims Quality Assurance) are calibrated to ensure consistent approach in reviewing claim files
- Obtain agreement with Claims Leaders and Claims Technical Advisors on establishing best-in-class standards to audit against minimum thresholds
- Lead a Claims Quality Assurance review team while supporting their development to ensure team objectives are met
- Modernize approaches to technical file reviews by incorporating data analytics to measure and monitor adherence to regulatory and company standards
- Provide advisory and consultative services on claims file management, claims process effectiveness, risk management and control on new initiatives, process changes, existing processes and ad hoc requests
- Conduct root cause analysis and implement solutions in partnership with Claims, Actuarial, Risk, IT, Legal & Compliance, Finance & Underwriting
- Foster awareness of the company's policies and procedures through regular communication, training and employee engagement
- Monitor emerging best practices in risk management, audit and controls to improve Definity’s ability to identify, assess, mitigate, govern and report
What can you bring to the role?
- 10+ years of experience in P&C claims handling, specializing in Auto and Property Claims either as a leader or Claims Technical Specialist
- Experience in/strong exposure to audit, risk management, regulatory compliance, processes and controls
- Ability to build strong relationships externally and internally with all levels to help foster a positive compliance culture
- Strong understanding of business operations and related legislative, regulatory, and internal policy and procedure requirements
- Excellent analytical, written and verbal communication skills
- Proficient in Microsoft Excel, Power Point and Word
Strong organizational, planning skills and critical problem-solving skills
Salary range is $77,100- $142,000
