Head of Claims Operations

If you think you are the right match for the following opportunity, apply after reading the complete description.

Head of Claims Operations

Company :

Munich Re Specialty Group

Location :

Hartford, United States

We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients.

The Company

Munich Re Specialty North America provides extensive, specialty property and casualty insurance solutions to customers through select brokers, Managing General Agents, program administrators, cover holders and insurtech partners.

Products include : property, casualty, professional liability and other specialty insurance solutions. Our comprehensive, customized solutions are provided by A+ rated carriers and are tailored to clients’ needs.

We offer superior service levels, industry-recognized underwriting and claims expertise and innovative approaches to complex and evolving risks.

Munich Re Specialty North America is a description for the insurance business operations of affiliated companies in the Munich Re Group that share a common directive to offer and deliver specialty property and casualty insurance products and services in North America.

The Opportunity

The Head of Claims Operations plays a crucial role to ensure delivery of claims operation services and compliance within the Claims organization.

This role is responsible for consistent and reliable delivery of end-to-end claims processes, continuous monitoring, identification of opportunities for performance and process improvement, and collaborating with cross-functional teams to enhance claims excellence.

This role will also have accountability for the Claims Compliance area, which is accountable for regulatory compliance, compliance monitoring and testing, development and administration of controls, as well as operational administration of TPAs.

You are responsible for overseeing the Claims Operations and Compliance Departments. These functions include but are not limited to : claims compliance, claims intake, claims communications, claims coding updates, reconciliation of reserves and expenses, issuing payments, and assisting with data interfaces and reporting.

This role will also work with Transformation to assist with implementation of new systems, tools and technology to improve efficiency.

Additionally, you will assist with onboarding of vendor partners and assist with coordination and execution of internal and external reporting functions.

This role collaborates regularly with the Claims Leadership Team, Finance, Law, Audit, Actuarial, Service Delivery and other MRS-NA and Group Departments.

Responsibilities :

• Direct the Claims Operations & Compliance teams, ensuring all end-to-end claim-related processes are delivered accurately and efficiently.
• Develop and monitor all Claim Operations KPI’s to ensure timely processing and resolution, minimizing backlogs and delays.
• Create an Operations Workforce strategy to attract and retain talent with training, a career development plan, including succession planning, mentorship, and cross-training opportunities.
• Identify opportunities for process improvement and to leverage technology to enhance Claim Operations.
• Create and cultivate strong collaboration with Finance, Actuarial, Statistical Reporting, Law Underwriting and other MRSI partners.
• Oversee onboarding activities and maintenance of TPA programs.
• Ensure MRSI Claims accountability for claims compliance and risk mitigation.
• Update and advise on changes to risk and business continuity policies and procedures.
• Maintain and ensure performance of appropriate financial and operational risk controls.
• Administer TPA relationships, including control environment and performance monitoring / audit.
• Escalate technical issues to IT for Production support.
• Assist the MRSI Claims Department in Transformation by participating in projects and leading efforts.

Job Requirements :

• BA and / or advanced degree.
• 10-12 years of claims operations and / or compliance experience; 5 years or more insurance related.
• Ability to prepare presentation documents and present to senior leadership.
• Experience with enterprise systems and operations best practices.
• In-depth knowledge and experience with insurance claims operations.
• Proven ability to manage people and lead multiple teams.
• Enjoys operating in a dynamic, fast-paced environment.
• Ability to interact collaboratively and work effectively with a multi-functional team.
• Strong analytical skills and mindset.
• Strong verbal and written communication skills.
• Analytic and technical ability to develop reports, metrics and improvement plans.
• Advanced computer skills to include Microsoft Products.

This position is being offered in several of our office locations, including Princeton, NJ; Philadelphia, PA; Hartford, CT; and Chicago, IL.

At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work.

We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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Apply now!

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