Senior Claims Auditor, North America P&C Insurance

Your Responsibilities

Will Include

• Claims Audit Execution & Delivery
• Execute risk-based P&C claim audits across within the North America across multiple lines of business.
• Audit technical claims handling performance, case reserve accuracy, and other core claim functions amongst various claim administrators.
• Apply Claims Audit methodology and professional standards to deliver high-quality, consistent audit outcomes.
• Leverage data analytics to enhance claims audit coverage, risk assessment, and testing approaches.
• Develop audit claims samples and workbooks to capture all required key performance indicators and contractual obligations of SiriusPoint’s claims administrators.
• Evaluate claims administrator internal claims control environments across business operations.
• Maintain awareness of regulatory requirements and industry expectations relevant to the insurance sector.
• Produce audit reports and present findings to internal and external stakeholders.

Issue Management & Stakeholder Engagement

Will Include

• Identify control gaps, process inefficiencies, and emerging risks, with a focus on practical, value-added recommendations.
• Prepare clear, concise audit reports with findings and actionable recommendations.
• Partner with business stakeholders to develop appropriate remediation actions.
• Track and follow up on audit issues through to resolution, ensuring sustainable outcomes.
• Build and maintain strong working relationships with business and functional stakeholders across the organization.
• Communicate audit observations with clarity and professionalism, providing balanced and constructive challenge.
• Cookordination with Program Management and Underwriting Teams for corrective actions and stewardship.

Continuous Improvement & Insight

• Contribute to the ongoing enhancement of Claims Audit methodology, tools, and practices.
• Support the adoption of data analytics, automation, and continuous auditing techniques.
• Identify opportunities to improve business processes, strengthen controls, and enhance overall operational effectiveness.

Your Skills And Abilities Should Include

• The position requires a minimum of 15+ years’ experience in claims handling or supervisory roles, and with at least 5+ years claim audit experience preferred.
• Strong knowledge of property & casualty claims and Delegated Claims Authority claims model.
• Bachelor’s degree in accounting, Finance, Risk Management, or related discipline preferred.
• Basic knowledge of state and federal regulatory insurance environments, underwriting, and reinsurance.
• Strong analytical, critical thinking, and problem-solving skills with the ability to work independently and manage competing priorities.
• Ability to engage at various stakeholder engagements and client/stewardship meetings.
• Chartered Property & Casualty Underwriter (CPCU) Certification or other similar certifications a plus.
• Some travel is required for internal business meetings and external engagements (~25%).
• Strong IT skills, including knowledge of the Microsoft Office suite of products.