Job Title: Claims Manager Division: Group Claims Reports To: Claims Product Specialist and/or Claims Focus Group Leader, as per Beazley\xe2\x80\x99s organisation chart Key Relationships: Claims staff, underwriters, insureds, brokers and service providers Job Summary: To help achieve the Beazley vision of being the highest performing specialist insurer with a focus on mid to high value claims which may have coverage issues. To contribute to the overall performance, development, and management of the Beazley claims function. From a technical perspective this will be achieved through the proactive management of claims, primarily at the individual level but also at a portfolio level where required. A key requirement of the role is to assist to optimise spend and achieve high levels of satisfaction for the client and broker through high quality claims management, resolution, and excellent client service. To support claims management to facilitate and foster a collaborative approach across the claims function to learn, share ideas and diverse perspectives, and work in a manner that best meets the challenges of our clients.
Key Responsibilities: Individual Claims Leadership \xc2\xb7 Manage individual claims on a proactive basis from notification to closure, investing the necessary level of involvement required for each claim depending on the nature, category, maturity, type, and quantum of the claim. \xc2\xb7 Manage a portfolio of claims of varying severity, including Category 2 and some Category 1 claims (i.e., claims with an expected or actual value in excess of $250,000), as well as (depending on training and agreement of the Head of) Coverage Litigation but without allegations of bad faith. \xc2\xb7 Adhere at all times to Beazley\xe2\x80\x99s Claims Reserving Philosophy and Standards. \xc2\xb7 Develop, iterate, document, and execute claims strategies taking into account uncertainties, key decisions, potential outcomes, and estimated associated costs. \xc2\xb7 Understand and implement Beazley\xe2\x80\x99s Conduct Risk Policy. \xc2\xb7 Claims Portfolio Management \xc2\xb7 Manage a claims portfolio to optimise performance including the: \xc2\xb7 Review of individual claims within the portfolio on a regular basis and ensuring reserves and claims records are maintained in a timely manner as required by Beazley\xe2\x80\x99s claims controls and standards. \xc2\xb7 Identification of issues and trends in the portfolio, consult management/peers if required, and take appropriate and/or corrective action. \xc2\xb7 Communication of any material claims to Reinsurance and Finance as set out by the applicable claims authority, claims protocols, and procedures. \xc2\xb7 Working with Reinsurance to effect claims recoveries. \xc2\xb7 Strategy and Business Planning \xc2\xb7 Maintain an awareness of the overall strategic objectives and business plans of the Beazley claims function to the degree required to identify gaps or future opportunities to Claims Management. Working with Underwriters \xc2\xb7 Develop an understanding of marketing and underwriting strategies for the respective business area. \xc2\xb7 Contribute to business development and renewal opportunities through attending client meetings to provide inputs regarding the Beazley claims philosophy and claims handling approach. \xc2\xb7 Provide inputs to client meetings regarding specific claims issues. \xc2\xb7 Provide input to underwriters on review of potential or existing insured\xe2\x80\x99s claims experience. \xc2\xb7 Identify claims trends and developments and communicate their potential impact on the book. \xc2\xb7 Identify wordings issues and suggest policy wording improvements. \xc2\xb7 Authority & Minimum Standards Observance \xc2\xb7 Operate within approved claims authorities at all times. \xc2\xb7 Maintain a thorough knowledge of industry regulations and minimum standards. \xc2\xb7 Ensure compliance with the regulations and Beazley\xe2\x80\x99s claims control standards and protocols. Third Party Management \xc2\xb7 Adhere to Beazley\xe2\x80\x99s procedures for the selection and retention of 3rd party professionals and manage relationships to the benefit of Beazley. \xc2\xb7 Hold overall ownership and accountability for delegated relationships as needed including appropriately managing escalation of items from delegated partners. \xc2\xb7 Review TPA performance data consistency with claims service requirements, claims best practices, and financial goals on a periodic basis. \xc2\xb7 Conduct file reviews or audits as required, and resolve any issues identified. \xc2\xb7 Provide feedback on a regular and proactive basis regarding the claim actions undertaken by the Third-Party Administrator (TPA). \xc2\xb7 Propose strategies for future claims handling, review case reserve adequacy, and ensure the TPA remains focused on claim finalisation. \xc2\xb7 Broker and Insured Relations \xc2\xb7 Work proactively to develop and manage strong relations with key brokers and insureds. \xc2\xb7 Promote the Beazley brand of excellence and professionalism in client service. Operational \xc2\xb7 Ensure the management of claims conforms to the agreed standardised processes and use of share service functions as appropriate. \xc2\xb7 Contribute to the commitment to, and active development of a continuous improvement culture within the overall claims function. \xc2\xb7 Support the Claims Business Management Team and Claims Solutions Team to identify and implement business performance improvement opportunities.
\xc2\xb7 Development and Mentoring of Junior Staff \xc2\xb7 Assist claims management and peers to develop, mentor and empower junior staff. \xc2\xb7 Ensure junior staff in the business unit have the knowledge and skills necessary to perform effectively in their given roles and responsibilities and increase their versatility for the broader Beazley business. \xc2\xb7 Serve as a positive role model for junior staff. \xc2\xb7 Conflicts of Interest \xc2\xb7 Adhere to Beazley\xe2\x80\x99s Conflicts of Interest policy, alert the appropriate person to any potential conflicts of interest, and take steps to resolve them promptly. \xc2\xb7 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.
Personal Specification: Education and Qualifications \xc2\xb7 University degree required \xc2\xb7 Law degree preferred \xc2\xb7 4-7+ Years of Insurance claims experience \xc2\xb7 Holds a valid adjuster license for Ontario and Quebec preferred Skills and Abilities \xc2\xb7 Analytical skills: Problem solving (broad-based, analytical, conceptual, creativity), Analysis of financial statements, Financial assessments of claims, Data analysis, Decision-making \xc2\xb7 Work management skills: Time and workload management, Self-starter, Planning, Achievement orientation, Productivity focus \xc2\xb7 Interpersonal skills: Ability to influence others, Client and broker management skills, Purposeful communication, Flexibility, Active listening \xc2\xb7 Languages: English and French Knowledge and Experience \xc2\xb7 Legal training or past claims experience establishing liability and/or settlement resolutions. \xc2\xb7 Functional knowledge & understanding: Claims management process, IRsurance market (general & focus group), legal and regulatory environment, Alternative resolution approaches \xc2\xb7 A&E, Construction, General Liability, Specialty risks experience preferred \xc2\xb7 Lloyds of London Claims experience preferred Aptitude and Disposition \xc2\xb7 Outcome focussed, self-motivated, flexible and enthusiastic \xc2\xb7 Professional approach to successfully interact with senior management/ colleagues/ external suppliers \xc2\xb7 Diplomatic Competencies \xc2\xb7 Problem-solving \xc2\xb7 Decisiveness \xc2\xb7 Customer-focused \xc2\xb7 Influencing others \xc2\xb7 Attention to detail \xc2\xb7 Team work \xc2\xb7 Self-starter \xc2\xb7 Analytical thinking \xc2\xb7 Managing resources effectively \xc2\xb7 Technical competency and expertise This document is subject to review after consultation with your Manager.