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Complex / Senior Assumed Claims Analyst

Employer
RiverStone Resources
Location
Remote or Manchester, NH or Rockville Centre, NY
Salary
Not Specified
Closing date
Jun 12, 2022

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Category
Claims, Reinsurance
Job Type
Full Time
Career Level
Experienced (Non-Manager)

Job Details

Reporting to a Manager, Complex/Senior Assumed Claims, this role handles APO/non-APO claims that may involve complexity and potential for high exposure, including resolution of coverage and liability issues, claim evaluation, establishment of adequate reserves, litigation management, case resolution and transaction processing, and implementation of strategic initiatives relating to asbestos, in alignment with the Company’s Strategic Vision.

Essential Functions

  • In addition to handling all functions of a Assumed Claim Analyst handles APO/non-APO matters involving or potentially involving greater severity and complexity.
  • Mastery of the Assumed Claims Analyst functions and RiverStone systems.
  • Anticipates and identifies risks and opportunities on coverage and liability.
  • Mentors and guides less experienced analysts. 
  • Assists Managers with departmental problem solving.
  • Manages external relationships including third party administrative oversight.
  • Serves on Companywide committees and projects as assigned.
  • Provides written and oral reports on claims to the highest levels of the organization.
  • Demonstrates the ability to work independently with little supervision.
  • Devises and executes strategies to achieve goals.
  • Collaborates with the highest levels of management.
  • Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
  • Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella and excess policies.
  • Assists in the assignment to and control of work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negotiations.
  • Ensures proper file setup, reserving, general handling and application of company procedure.
  • Participates in developing claims handling strategy, including defense coordination, litigation strategy and budgets, and expense control.
  • Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records.
  • Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to our Reinsurance Department to assist in providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention.
  • Handles varied volume of complex and dynamic claims effectively.
  • Develops creative ideas and solutions to real time business problems and/or business opportunities; takes reasonable, calculated risks even if failure is possible.
  • Empowers self and teammates to continuously improve RiverStone’s business processes/systems; develops and escalates solutions.
  • Consistently delivers superior customer service to both internal and external business partners.
  • Performs special projects and assignments related to area of authority as necessary.
  • Maintains confidentiality.
  • Establishes and maintains professional relationships.
  • Assists in Due Diligence inquiries as assigned.
  • Travels as required.
  • Obtains and maintains claims adjuster licenses in those states requiring them.

Required Skills

  • Demonstrates ability and flexibility in a dynamic environment.
  • Excellent analytical, interpersonal and communications skills, both written and oral.
  • Capable of working independently and meeting assigned deadlines.
  • Customer service oriented and able to develop lasting relationships with internal and external business partners.

Organizational

  • Demonstrates alignment with RiverStone’s Commitments.
  • Prioritizes and organizes work in self-directed manner.
  • Attains and maintains knowledge of assigned department.
  • Performs other duties as required, including supporting and coordinating with other department colleagues.

Related Functions:

  • Leads Companywide initiatives and projects as assigned.

Experience

  • Minimum of 5 years’ experience in claims handling or a related field

Required Education

Four-year college degree required or equivalent work experience

Preferred Education or Certification

JD, CPCU, SCLA, CCLA

Supervisory Role 

Schedule, assign, and review the work of others in compliance with specific instructions.

Travel

Moderate to frequent, based upon business needs.

Work Environment / Physical Demands

This position operates in a professional cubicle based collaborative environment and must have the ability to timely produce thorough, accurate work with many competing demands, deadlines, and distractions. The position uses standard equipment such as phones, computers, copiers/printers and filing cabinets. Noise level is moderate.

Other Duties (Disclaimer Statement)

RiverStone retains the right to change or assign other duties to this position as needed, OR Other duties or responsibilities may change or be assigned as needed.

Core Competencies

Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything.

Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.

Process Management: Good at figuring out the processes necessary to get things done; knows how to organize people and activities; understands how to separate and combine tasks into efficient flow; knows what to measure and how to measure it; can see opportunities for synergy and integration where others can’t; can simplify complex processes; gets more out of fewer resources.

Sizing Up People: Is a good judge of talent; after reasonable exposure, can articulate the strengths and limitations of people inside or outside the organization; can accurately project what people are likely to do across a variety of situations.

Ethics and Values: Adheres to an appropriate (for the setting) and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches.

Written Communications: Is able to write clearly and succinctly in a variety of communication settings and styles; can get messages across that have the desired effect.

Negotiating: Can negotiate skillfully in tough situations with both internal and external groups; can settle differences with minimum noise; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic; gains trust quickly of other parties to the negotiations; has a good sense of timing.

Time Management: Uses his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities; gets more done in less time than others; can attend to a broader range of activities.

Privacy Notice for California Residents

 

Diversity, Equity, Inclusion & Belonging

RiverStone Resources, LLC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law.

Company

The RiverStone Group is the preeminent insurance run-off manager in the world and is owned by Fairfax Financial Holdings Limited, a financial services holding company, publicly traded on the Toronto Stock Exchange under the symbol FFH.

RiverStone is a global insurance industry leader specializing in the acquisition and management of insurance portfolios. With highly skilled insurance specialists employed in the US and Europe (http://www.rsml.co.uk/), RiverStone has amassed unrivaled industry and regulatory experience, and is the recognized market leader in the resolution of complex insurance claims arising from APH (asbestos, environmental, and mass tort) construction defect, brown and blue water marine, workers compensation, and major bodily injury liabilities.

In addition to industry-defining experience with run-off management and consolidation, RiverStone, together with Fairfax, now brings to the market the capability to creatively finance substantial transactions so as to relieve customers of the continuing liability concerns, regulatory, and rating issues associated with discontinued or lagging businesses.

In short, RiverStone brings world class capabilities to the resolution of complex insurance and reinsurance portfolios throughout the world. RiverStone: World Class, World Wide.

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