Position Overview: To manage complex and high-dollar reinsurance multiline claims (Liability, Workers’ Compensation and Property) within multiple jurisdictions. Monitor the claims handling performance of members and third-party administrators.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Claims Management:

· Perform timely and accurate processing of multi-line claims in multiple jurisdictions.

· Adhere to best practices for reinsurance claims handling.

· Conduct coverage verification and complete complex coverage forms.

· Monitor the performance of members and third parties and take appropriate action as required.

· Make accurate and timely payments.

· Estimate loss reserves for reinsurance claims.

· Monitor reserve adequacy and update as needed based on claim developments.

· Obtain reinsurance recoveries where applicable.

· Maintain detailed records of claims, including relevant documentation, correspondence, and settlement details.

Assessment:

· Review and analyze reinsurance claims submitted by ceding companies. Evaluate coverage, policy terms, and loss details to determine validity and compliance with reinsurance agreements.

· Review and analyze contracts and related claim documents.

· Participate in audits of claims processes and procedures. Identify areas for improvement and adhere to best practices.

Collaboration:

· Work closely with cross-functional teams, including Members, the CRL board, underwriting, legal, actuarial, and finance, to ensure seamless claims resolution.

· Work directly with CRL members on claim-related issues and manage escalations.

· Collaborate with underwriters to assess potential exposures and mitigate risks.

Compliance:

· Ensure compliance with regulatory requirements, industry guidelines, and internal policies.

· Stay informed about industry developments and adjust processes accordingly.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

· Performs other duties as assigned.

· Travels as required.

QUALIFICATIONS

Education & Licensing

Bachelor's degree preferred. Associate in Risk Management (ARM) and/or other risk management designations preferred.

Experience

· Seven (7) plus years of property/casualty and/or workers' compensation experience or equivalent combination of education and experience required Two (2) years plus of managing complex claims required.

· Knowledge of reinsurance principles and practices preferred.

· Experience with manuscript coverage preferred.

· Experience with public entity pools is preferred.

· Riskonnect experience preferred.

· Litigation experience preferred.

Skills & Knowledge

· Understanding of the rating methodology of workers’ compensation, property, and liability insurance coverage(s). Ability to reason, solve practical problems, and interpret a variety of information and instructions.

· Ability to reason, solve practical problems, and interpret a variety of information and instructions.

· Analytical and interpretive skills with strong attention to detail.

· Excellent oral and written communication skills, including presentation skills.

· Proficiency in working effectively in a team environment, when working independently and when working offsite or remotely.

· Proficiency in Microsoft Office applications, including Word and Excel, and claims management systems.

· Excellent negotiation and communication abilities.

· Ability to meet or exceed Performance Competencies.

· Ability to develop and maintain effective working relationships with all levels of the organization, members and third parties.

· Proficiency in working effectively in a team environment, when working independently and when working offsite or remotely.

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to a reasonable accommodation.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting,