Life Science & Digital Health Claims Manager

Key Responsibilities

• Proactively manage a diverse portfolio of healthcare professional liability claims.
• Handle claims from first notice of loss through resolution, assessing severity, complexity, and direct financial loss to determine the appropriate level of involvement based on claim type, maturity, and quantum.
• Work closely with brokers, insureds, and underwriting partners to evaluate policy coverage and communicate coverage determinations.
• Manage portfolio of medium to high severity claims, including Category 2 and some Category 1 claims (expected or actual value in excess of $500,000 or having material coverage issues).
• Evaluate and document individual claims within the portfolio on a regular basis, ensuring claims records are maintained in a timely manner as required by Beazley’s claims controls and standards.
• Establish appropriate and timely case reserves adhering to Beazley’s authority protocols and Reserving Philosophy and Standards.
• Develop, iterate, document, and execute claims strategies, considering uncertainties, key decisions, potential outcomes, and estimated associated costs.
• Ensure the management of claims conforms to standardized processes, maintain accurate and updated claims files including proper documentation and data.
• Communicate any material claims to Reinsurance and Finance as set out by the applicable claims authority, claims controls/protocols, and procedures.
• Work with Reinsurance to effect claims recoveries.
• Understand and implement Beazley’s Conduct Risk Policy.
• Contribute to the continuous improvement culture within the overall claims function.

Strategy and Business Planning

• Maintain an awareness of the overall strategic objectives and business plans of the Beazley claims function.
• Work with Underwriters and Claims Team to understand marketing and underwriting strategies for the business area.
• Join client meetings to share Beazley’s claims philosophy and address specific claims issues.
• Provide input to underwriters on potential or existing insured’s claims experience.
• Identify issues and trends, consult relevant stakeholders if required, and take appropriate and/or corrective action.
• Identify wordings issues and suggest policy wording improvements.
• Leverage networking opportunities within the business to develop standardized underwriting policy and best practices within Beazley.
• Help produce presentations and marketing literature as required.

Authority & Minimum Standards

• Operate within approved claims authority at all times.
• Maintain a thorough knowledge of and ensure compliance with relevant regulation, minimum claim handling standards, and Beazley’s claims controls and protocols.

Third Party Management

• Adhere to Beazley’s procedures for the selection and retention of 3rd party professionals.
• Manage escalation of items from delegated partners as required.
• Conduct file reviews or audits as required, and resolve any issues identified.
• Propose strategies for future claims handling, review case reserve adequacy, and ensure the TPA remains focused on claim finalization.

Broker and Insured Relations

• Work proactively to develop and maintain strong relations with key brokers and insureds.
• Promote the Beazley brand of excellence and professionalism in client service.

Conflicts of Interest

• Adhere to Beazley’s Conflicts of Interest policy, alert the appropriate person to any potential conflicts of interest, and take steps to resolve them promptly.
• Immediately advise your Head of or Group Head of Claims if any Beazley employee seeks to exert undue influence on you or any other team member to act improperly in the management, reserving, or settlement of any claim.