Reinsurance Claims Modelling Analyst
<p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><strong>About you and the role:</strong></span></p> <p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Responsible for addressing all claim issues related to WC Assumed Modelled Accounts assigned by gathering information necessary to make informed and responsible decisions to bring claims to appropriate resolution.</span></p> <p style="text-align: left; line-height: 1.1;"> </p> <p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><strong>What you will be doing:</strong></span></p> <p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Key Accountabilities / Deliverables </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Within established authority administers claims for assigned Assumed accounts. Conducts coverage verification, investigation, evaluation, reserving and authorization of claims payments and recovery.</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Manage claim activity and monitor all claim development for assigned accounts</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Alert Management of significant loss development/activity</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Documents modelling procedures and ensures auditability for model priced positions; prepares and maintains on-going documentation efforts with regard to valuation policies, internal controls, processes and results</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Assists and supports manager with review and analysis of results, practices, policies and procedures for portfolio valuation</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Assists with preparation and documentation for an executive-level Valuations, focusing on results, key pricing and valuation initiatives and decisions.</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Evaluate and investigate claims to confirm coverage and identify any potential issues</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Ensure proper reserving of reported claims through utilization of additional case reserves, proper documentation and disposition of individual excess of loss and pro rata accounts.</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Ensure accuracy of processed claims payments. Coordinates with operations and accounting to confirm processing of prompt payments</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Maintain accurate data of payments, reserves, scanned documents, new mail, etc.</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Maintain integrity of imaged claim files and maintain a diary system for assigned files</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Analyze and produce reports highlighting large losses, coverage and critical issues for review by claims management and actuarial. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Produce and analyze specific account data and generate reports in preparation for claim audits. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Support reinsurance audits which will utilize the specialized skill developed during this person’s career to understand whether complex claims have been handled and ceded appropriately. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Work with external customers to address questions, resolve problems and maintain rapport. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• In addition to the above key responsibilities, may be required to undertake other duties from time to time as the Company may reasonably require.</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Willingness to learn multiple facets of the Company’s work product, including developing an understanding of Reinsurance practices and procedures, Reinsurance contractual terms and conditions, and Claim evaluation.</span></p> <p style="text-align: left; line-height: 1.1;"> </p> <p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><strong>What you will bring: </strong> </span><br><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Bachelor’s degree or higher in Mathematics, Statistics, Finance, Business or a related field. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• 5+ years claims analysis experience with a Reinsurance/Insurance Carrier and/or experience with reviewing and evaluating WC claim reserves. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• General understanding of legal principles as they pertain to reinsurance claims</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Strong technical knowledge of Workers’ Compensation claims as well as State specific claim handling guidelines.</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Requires the ability to understand the various reinsurance agreements which govern these lines of business, as well as the ability to comprehend complex loss presentations received by ceding companies. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Proficiency in Microsoft Excel</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Knowledge of how to utilize quantitative, statistical and mathematical financial techniques for fair valuations. Knowledge of data analysis, numeric reasoning and overall numeric proficiency. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Knowledge of workers’ compensation laws, policies and procedures. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Knowledge to collect and analyse large amounts of information, extract its essence, and incorporate the findings into valuation models and processes. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Ability to work independently</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Ability to follow instructions, respond to management direction and solicit feedback to improve performance. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Ability to demonstrate accuracy and thoroughness, monitor own work to ensure quality and apply feedback to improve performance.</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Ability to adapt to changes in the work environment, manage competing demands and is able to deal with frequent change, delays or unexpected events. </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Ability to identify and resolve problems in a timely manner, gather and analysis information with good attention to detail.</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Detail oriented </span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Organizational skills</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Ability to multi-task</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Computer skills (Microsoft applications)</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">• Excellent written and verbal communication skills</span></p> <p style="text-align: left; line-height: 1.1;"> </p> <p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><strong>Your Benefits:</strong></span></p> <ul style="text-align: left;"> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Enstar offers best-in-class Medical, Dental, and Vision healthcare for single and family coverage.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Board-certified doctors and pediatricians are available virtually 24/7 for urgent care.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Access to Health Savings Account (HSA) or Flexible Spending Account (FSA).</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Access to Dependent Care FSA to cover daycare expenses.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Access to Employee Assistance Programs (EAP) for health and well-being.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Optional Pet & Home/Auto Insurance.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">Wellness Reimbursement program (up to $600 annual reimbursement for wellness-related expenses, i.e., gym memberships, massage, etc.).</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">401K retirement plan (company matches up to 6% of employee contribution).</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">One paid annual volunteer day.</span></li> </ul> <p style="text-align: left; line-height: 1.1;"> </p> <p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><strong>General Info </strong></span></p> <p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">The target base salary pay range for this role is $115,000-$135,000*</span></p> <p style="text-align: left; line-height: 1.1;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);">*Target full-time equivalent base salary range is based on relevant market data. The actual salary offered will depend on applicable market data for hiring location and relevant candidate knowledge, skills/experience. This salary range is not inclusive of applicable discretionary incentives.</span></p><div class="content-conclusion"><p style="line-height: 1.2;"><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;"><strong>Who we are:</strong></span></p> <p style="line-height: 1.2;"><span style="font-family: arial, helvetica, sans-serif;"><span style="color: rgb(1, 29, 65); font-size: 10pt;"><span data-contrast="auto">We are a trusted global re/insurance group and the leading provider of retrospective solutions, with specialist underwriting capabilities. We help our clients manage risk, unlock capital and create the financial freedom to grow.</span> </span><span style="color: rgb(1, 29, 65); font-size: 10pt;"><span data-contrast="auto">With operations across the world’s major insurance hubs and a global network of close to 800 talented professionals, we bring expertise and fresh thinking to some of the industry’s biggest challenges.</span><span data-ccp-props="{}"> </span></span></span></p> <p style="line-height: 1.2;"><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span data-contrast="auto">For more information about Enstar, visit our website: </span><a style="color: rgb(1, 29, 65);" href="http://www.enstargroup.com/"><span data-contrast="none"><span data-ccp-charstyle="Hyperlink">www.enstargroup.com</span></span></a><span data-contrast="auto">.</span><span data-ccp-props="{}"> </span></span></p> <p style="line-height: 1.2;"><span style="font-family: arial, helvetica, sans-serif;" data-contrast="auto"><span style="color: rgb(1, 29, 65); font-size: 10pt;">For more information about careers at Enstar, visit our LinkedIn Life page or visit our <a style="color: rgb(1, 29, 65);" href="https://careers.enstargroup.com/">careers site</a></span></span></p> <p style="line-height: 1.2;"> </p> <p style="line-height: 1.2;"><span style="font-family: arial, helvetica, sans-serif; color: rgb(1, 29, 65); font-size: 10pt;"><strong>Why Enstar:</strong></span></p> <p style="line-height: 1.2;"><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span data-contrast="auto">Learning and development are a fundamental part of every employee's career journey with Enstar. Supporting growth and career progression is key to how we engage our people - helping them to learn, grow and succeed at Enstar. </span><span data-ccp-props="{}"> </span></span></p> <p style="line-height: 1.2;"><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span data-contrast="auto">We offer a range of initiatives and resources to support our people throughout their careers:</span><span data-ccp-props="{}"> </span></span></p> <ul> <li style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;" data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{" 335552541":1,"335559685":720,"335559991":360,"469769226":"symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridmultilevel"}"="" data-aria-posinset="1" data-aria-level="1"><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;"><strong><span data-contrast="auto">Professional Qualifications and Study Support: </span></strong><span data-contrast="auto">We support employees who wish to take professional qualifications aligned to their role and career development. </span><span data-ccp-props="{}"> </span></span></li> </ul> <ul> <li style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;" data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{" 335552541":1,"335559685":720,"335559991":360,"469769226":"symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridmultilevel"}"="" data-aria-posinset="2" data-aria-level="1"><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;"><strong><span data-contrast="auto">Training, Conferences & Seminars: </span></strong><span data-contrast="auto">As a global organisation, we work with many professional bodies to provide access to training programmes, conferences, seminars and continuing professional development (CPD) opportunities.</span><span data-ccp-props="{}"> </span></span></li> </ul> <ul> <li style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;" data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{" 335552541":1,"335559685":720,"335559991":360,"469769226":"symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridmultilevel"}"="" data-aria-posinset="3" data-aria-level="1"><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;"><strong><span data-contrast="auto">Digital Learning Hub: </span></strong><span data-contrast="auto">Our digital learning hub, LinkedIn Learning, offers a wide range of self-serve resources, including courses, videos, eBooks, and audio books, to help employees build news skills and deepen their knowledge.</span><span data-ccp-props="{}"> </span></span></li> </ul> <p style="line-height: 1.2;"><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;"><span data-contrast="auto">We also invest in physical, mental and financial wellbeing initiatives for our employees. Supportive teams, inspiring work and a positive working environment all contribute to our collective wellbeing. Beyond the workplace, we strive to make a positive influence in our communities and to continuously reduce our impact on the environment.</span><span data-ccp-props="{}"> </span></span></p> <p style="text-align: left; line-height: 1.2;"><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt; color: rgb(1, 29, 65);"><strong> </strong></span></p> <p style="line-height: 1.2;"><span style="color: rgb(1, 29, 65); font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong>Enstar Inclusivity Policy:</strong></span></p> <p><span style="color: rgb(1, 29, 65); font-size: 10pt; font-family: arial, helvetica, sans-serif;">Our annual Inclusivity Index puts Enstar ahead of the industry in terms of promoting an inclusive and welcome working environment. We’re an equal opportunity employer and believe that our inclusive environment creates an authentic working culture. We don’t discriminate on the basis of age, physical or mental disability, gender reassignment, marriage and civil partnership, pregnancy and carer status, race (including colour, nationality, and ethnic or national origin), religion or belief, sex and sexual orientation. Enstar is committed in providing an accessible recruitment experience for all those interested in working with us. Please let your Enstar Recruitment Partner know if you require any reasonable accommodation during the application process due to a disability to enable you to fully participate in our recruitment process.</span></p> <p> </p></div>