Director - MGA & Program Claims

Join Our Team

You will be a Director MGA and Programs Claims. In this role, you will be responsible for oversight of commercial Property and Casualty claim handling related to SiriusPoint Programs/MGAs, whether in-house or through TPAs. This includes providing authority to settle and reserve claims above retentions, auditing and monitoring claim handling. This role will also assist in performing initial and annual due diligence of claim handling entities. Validating compliance is also a focus of the role as Programs/MGAs (or their claim handling teams or TPAs) who should be compliant at all times with the terms of the insurance/reinsurance contract, claim handling guidelines, and internal policies and procedures. You will report to the Head of North America MGA and Programs Claims.

Your responsibilities will include:

• Oversight of claim handling entities associated with Programs/MGAs to ensure authority is not breached, claims reporting is accurate and timely, coverage is appropriate, consumer and customer service is compliant, quality auditing program is in place and up to date, and general monitoring of reserving and loss exposures.
• Working with Program Managers to on-board, design and implement procedures and also manage the day-to-day technical and operational aspects of US P&C Program/MGA business within allocated workload.
• Ensure compliance with claims handling process for U.S. claim handling entities.
• Evaluate reserves on specific claims and monitor adequacy of reserves at portfolio and individual claim level.
• Establish and maintain appropriate claims reports. Including, but not limited to trend analysis, claim lifecycle improvement and indemnity containment measures.
• Interpret contract coverage upon referral from the Program/MGA in order to determine liability and extent of participation in claims.
• Instruction and ongoing management of independent experts were required.
• All claims work must be performed according to Company policies and procedures, and within assigned Claims Authority.
• Ensure that claims escalation authorities are strictly adhered to and that claims are accurately and efficiently triaged/reported to the relevant person.
• Maintain cooperation and regular interaction, including established routine practices with other functions within SiriusPoint, including but not limited to Senior Management, Compliance, Underwriters and the Actuarial team.
• Establish, develop and maintain relationships with brokers, ceding companies, lawyers and loss adjusters in connection with claims matters.
• Monitor risk arising from claims programs against agreed SiriusPoint risk appetite/tolerances; promptly escalating risk events/control failures and taking appropriate actions to report and assist claims leadership to address matters arising from these events.
• If interested and qualified, there may be an opportunity to handle or consult on MGA/Program claims outside of the U.S. as part of a global Claims Team at SiriusPoint.
• The ability to travel for MGA and Programs Claims audits, Claims Team meetings, or other industry events as requested.
• Any other duties as reasonably required.

Your skills and abilities should include:

• Significant claims adjusting or leadership experience (at least 10-15 years) within Casualty, Property, and specialty lines (Professional Lines) preferred.
• Commitment to further training and knowledge gathering through attendance at market seminars, undertaking training courses and being active in relevant professional networks.
• The ability to make good decisions within the confines of accepted claims turnaround practice.
• The ability to analyze claims data and use data to inform strategic decisions at both an individual claim and portfolio level.
• Excellent written and verbal communication skills.
• The ability to represent the company (and its clients) effectively and professionally within the market.
• The ability to work to tight deadlines.
• Team player, with the ability to mentor/assist in the development of employees.
• B.A./B.S. or equivalent University degree. Additional insurance-related certificates and credentials are preferred but not required.
• Strong IT skills, including knowledge of the Microsoft Office suite of products.

We aim to retain and attract great people, knowing they can achieve a rewarding and enriching career. We offer a competitive and above market compensation package. The following are some of the benefits and perks we offer our employees:

• 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-Taxable income
• 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
• ERG Groups

Our CCPA Job Applicant Policy is found here: Sirius-America-CA-Job-Applicant-Privacy-Policy-Final.pdf

Originally posted on Himalayas