Special Examiner, Reinsurance Claims
Job description
Manage a portfolio of ceded reinsurance claims from initial notification through final recovery and settlement. Interpret treaty and facultative reinsurance contracts to determine coverage, reporting requirements, and recoverable amounts. Prepare and submit accurate claim notices, proofs of loss, and supporting documentation to reinsurers and brokers.
Monitor and support collecting outstanding reinsurance recoverables, proactively following up outstanding issues when applicable. Investigate and resolve complex claim discrepancies, coverage questions, and collection issues. Collaborate with Claims, Underwriting, Finance, and Accounting to ensure accurate claim reporting and financial results.
Support ceded claim balances and support month-end, quarter-end, and year-end close activities. Analyze claims data and identify trends, exceptions, and opportunities for operational improvement and mitigating leakage. Maintain accurate documentation and ensure compliance with internal controls, regulatory requirements, and company policies.
Participate in audits and provide supporting documentation as requested. Assist with testing and implementation of system enhancements and process improvements. Mentor junior team members by sharing technical knowledge and best practices. Bachelor's degree in Business, Finance, Risk Management, or related field (or equivalent experience).
5+ years of ceded reinsurance/direct claims experience. Understanding of treaty and facultative reinsurance preferred. Experience interpreting reinsurance contracts terms and conditions. Proficiency with Microsoft Excel and claims/reinsurance administration systems. Strong analytical, organizational, and proactive problem-solving skills.
Excellent written and verbal communication skills. Ability to manage multiple priorities with minimal supervision in fast paced environment. Experience with property and casualty direct and/or reinsurance claims experience Knowledge of GAAP/statutory accounting related to reinsurance recoverables. Experience working with brokers and/or global reinsurers.
Familiarity with process improvement methodologies and automation tools. Technical reinsurance or claims expertise Critical thinking and sound judgment Attention to detail Relationship management Financial and analytical acumen Accountability and ownership Collaboration and teamwork Continuous improvement mindset Effective communication Customer-focused service