A&H Claims Specialist

About the role

You will be our US A&H Claims Specialist, reporting into the A&H Claims Manager. In this capacity, you will handle claims emanating from the A&H Direct and Reinsurance books, including core MGA’s and developing claim strategies to drive the best possible results.

Responsibilities

• Responsible for the claims handling, oversight and administration of Direct and Reinsurance A&H Claims, including compliance of standards and procedures as established by the Policies, Program Management Agreements, Claims Handling Guidelines and Reinsurance Contracts
• Able to review and analyze monthly bordereaux, adverse trends and exposures to the A&H Claims Manager and make recommendations to management
• Assure all claims are properly documented, reserved and processed timely, according to Best Claim Practices
• Approve cash calls, payments and reserves on claims that are within your authority but in excess of the client’s authority and/or retention, established by SiriusPoint
• Support finance with all claims related statutory data collection
• Aid in the due diligence of prospective programs and third-party administrators to support the evaluation of their ability to administer our policies
• Verify the exhaustion of Annual Aggregate Deductibles
• Advise the US Head of A&H and Life Claims along with the Global Head of Claims on all disputes, arbitrations, litigations and consumer complaints
• Interact with Senior Management on various projects and corporate goals
• Support management in the response, negotiation and settlement of various complaints or legal actions as needed
• Perform other duties as assigned or as may be necessary

Skills and Abilities

• Bachelor’s degree (B.A. or B.S.) from a four-year college or University
• Minimum of 10 years related A&H Direct and Reinsurance claims handling experience with an insurance carrier, MGA, MGU, TPA or equivalent combination
• Superior service orientated, strong organization skills and the ability to effectively communicate with brokers, clients and vendors
• Excellent verbal and writing skills
• Ability to identify, analyze, and solve problems as they relate to claims handling

Benefits

• Medical
• Dental
• Vision
• FSA Medical and Dependent care
• Health Savings Account (HSA)
• Basic Life and AD&D (company paid)
• Basic Long-Term Disability (employer) paid
• Taxable income
• Employee paid Long Term Disability (voluntary)
• Company Medical Leave, Parental leave - 8 weeks full pay after 6 months of service
• Voluntary benefits: short term disability, Critical illness, Hospital Indemnity, Accident
• Travel assistance programs
• Company paid 401(k) 6% safe harbor match, fully vested after two years, pre- and post-tax contributions allowed
• Gym reimbursement
• Pet Insurance
• Tuition reimbursement
• Generous PTO
• Flexible work arrangement
• Full stacked pantry on-site
• Team outings
• ERG Groups

Pay

The estimated annual salary range for this position is $110,000 - $125,000 USD.