A&H Claims Specialist
SiriusPoint is a Bermuda-headquartered specialty underwriter providing insurance and reinsurance solutions to clients and brokers globally. It serves clients through primary insurance, reinsurance, and programs & MGA partnerships across Property & Casualty and Accident & Health lines.
About SiriusPoint
SiriusPoint is a specialty underwriter providing solutions to clients and brokers around the world, offering security and resilience in an uncertain market. The company underwrites primary insurance across a growing number of sectors, acts as a global reinsurer from its North America, Bermuda and European hubs (including Lloyd's Syndicate 1945), and is a leading carrier for program administrators and managing general agents partnering with casualty and specialty lines programs worldwide. Bermuda-headquartered with offices in New York, London, Stockholm and other locations, SiriusPoint is listed on the New York Stock Exchange (SPNT) and holds licenses to write Property & Casualty and Accident & Health insurance and reinsurance globally. With over $3.0 billion total capital, its operating companies carry financial strength ratings of A from AM Best, Fitch and S&P, and A3 from Moody's, and its offering is strengthened by strategic partnerships with Managing General Agents and program managers.
Skills
About the Role
You will step into the role of US A&H Claims Specialist, reporting into the A&H Claims Manager. You'll handle claims coming from the A&H Direct and Reinsurance books, including core MGAs, and develop claim strategies to drive the best possible results. You'll interact frequently with brokers and clients, evaluate claim notices, and approve authorizations and financial transactions on behalf of SiriusPoint. You'll also travel and audit client operations approximately one week per month, and collaborate closely with senior management on disputes, arbitrations, litigations and consumer complaints.
Requirements
- Bachelor's degree (B.A. or B.S.) from a four-year college or University
- Minimum of 10 years related A&H Direct and Reinsurance claims handling experience with an insurance carrier, MGA, MGU, TPA or equivalent combination
- Superior service orientation, strong organization skills and ability to effectively communicate with brokers, clients and vendors
- Excellent verbal and writing skills
- Ability to identify, analyze, and solve problems as they relate to claims handling
Responsibilities
- Handle claims, oversight and administration of Direct and Reinsurance A&H Claims, ensuring compliance with policies, program management agreements, claims handling guidelines and reinsurance contracts
- Review and analyze monthly bordereaux, adverse trends and exposures and report to the A&H Claims Manager with recommendations
- Ensure all claims are properly documented, reserved and processed timely according to best claim practices
- Approve cash calls, payments and reserves on claims within your authority but in excess of the client's authority or retention
- Travel and audit approximately one week per month and complete audit reports of various clients
- Support finance with claims-related statutory data collection
- Assist with due diligence of prospective programs and third-party administrators
- Verify the exhaustion of Annual Aggregate Deductibles
- Advise the US Head of A&H and Life Claims and the Global Head of Claims on disputes, arbitrations, litigations and consumer complaints
- Support management in the response, negotiation and settlement of complaints or legal actions
- Perform other duties as assigned
Benefits
- Medical
- Dental
- Vision
- FSA Medical and Dependent care
- Health Savings Account (HSA)
- EAP
- Basic Life and AD&D (company paid)
- Basic Long-Term Disability (employer paid)
- Employee paid Long Term Disability (voluntary)
- Company Medical Leave, Parental leave - 8 weeks full pay after 6 months of service
- Voluntary benefits: short term disability, Critical illness, Hospital Indemnity, Accident
- Travel assistance programs company paid
- 401(k) 6% safe harbor match, fully vested after two years, pre- and post-tax contributions allowed
- Gym reimbursement
- Legal plan
- Pet Insurance
- Tuition reimbursement
- Generous PTO
- Flexible work arrangement
- Fully stacked pantry on-site
- Team outings