Claims Manager - Healthcare Management Liability

Job Title: Claims Manager - Healthcare Management Liability

Division: Group Claims

Reports To: As per Beazley's 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. This will be done through the proactive management of claims, at the individual and portfolio level, to optimise spend and achieve high levels of satisfaction for the insured and broker through high quality claim management, resolution and excellent client service.

Responsibilities

Individual Claims Leadership

• Proactively manage individual claims 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.
• Follow at all times Beazley's Claims Reserving Philosophy and Claims Standards.
• Develop, iterate, document and execute claims strategies taking into account uncertainties, key decisions, potential outcomes and estimated associated costs.
• Understand and implement Beazley's "Treating Customers Fairly" policy.

Claims Portfolio Management

Manage claims portfolio(s) to optimise performance including:

• Regularly review individual claims within the portfolio and keep reserves and records up to date as required by Beazley's claims controls and standards.
• Identify issues and trends in the portfolio and take appropriate and/or corrective action.
• Keep Reinsurance and Finance advised of any material claims as set out in your claims authority and claims protocols and procedures and work with Reinsurance to effect recoveries.

Working with Underwriters

• Develop an understanding of marketing and underwriting strategies for your business area and contribute to business development and renewal opportunities by attending client meetings to explain the Beazley claims philosophy and approach to claims handling, and discussing any claims issues.
• Provide input to underwriters on review of potential or existing insured's claims experience.
• Feedback claims trends and developments and their potential impact on the book.
• Suggest wordings improvements.

Authority & Minimum Standards Observance

• Operate within your approved claims authority at all times.
• Have thorough knowledge of industry regulations and minimum standards to ensure compliance with the regulations and Beazley's claims and underwriting control standards and protocols.

Third Party Management

• Follow Beazley's procedures for the selection and retention of 3rd party professionals and manage these relationships to the benefit of Beazley.
• Where required conduct file reviews or audits and resolve any issues identified.

Broker and Insured Relations

• Work proactively to develop and manage 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 Claims Team leader 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.

Person Specifications

Skills and Abilities

• Analytical skills: Problem solving, Analysis of financial statements, Financial assessments of claims, Data analysis, Decision-making.
• Work management skills: Time and workload management, Self-starter, Planning, Achievement orientation, Productivity focus.
• Interpersonal skills: Ability to influence others, Client and broker management skills, Purposeful communication, Flexibility, Active listening.

Knowledge and Experience

• Functional knowledge & understanding: Claims management process, US/RoW Insurance market, US legal and regulatory environment, Alternative resolution approaches.

Aptitude and Disposition

• Outcome focused, self-motivated, flexible and enthusiastic.
• Professional approach to successfully interact with senior management, colleagues, and external suppliers.
• Diplomatic.

Competencies

• Problem-solving.
• Decisiveness.
• Customer-focused.
• Influencing others.
• Attention to detail.
• Teamwork.
• Self-starter.
• Analytical thinking.
• Managing resources effectively.
• Technical competency and expertise.