Claims Focus Group Leader

Beazley Group
Farmington, CT, United States
Full-time

General

Job Title : Claims Focus Group Leader - Beazley Product Solutions

Division : Group Claims

Reports To : As per Beazley's organisation chart

Key Relationships : Group Head of Claims ("GHOC"), Claims Team Head ("Head of"), Claims Team Leader ("CTL"), Claims Business Management Team ("CBMT"), Underwriting & Claims Operations ("UCO"), own staff, product team underwriters, Ceded Reinsurance, clients, brokers, and key external vendors.

Job Summary : To support Beazley's vision of being the highest performing specialist insurer by leading, managing, and developing a premier claims team that delivers the highest-level claims service attainable for the benefit of Beazley, its clients, and other stakeholders, and ensuring consistent, fair, and efficient claims settlements.

To support the development of a collaborative approach to learn, share ideas and diverse perspectives, and develop ways of working to best meet the challenges of our clients.

To contribute to the ongoing growth and development of claims capabilities across the team and the mentoring and development of team members.

FLSA : Exempt

Key Responsibilities :

Support the CTL and trading team stakeholders by providing input into claims strategy and business planning activities for BPS team;

develop and execute plan to achieve Claims vision; and execute strategy for elevating Beazley's market profile and strengthening client and broker relationships through relevant, timely thought leadership, and general marketing activities.

  • Contribute actively to the Global Small Business Team's general business and resource planning.
  • Build strong partnership with product team underwriters by sharing Claims trends, sharing best practices and coordinate on strategies to maintain a consistent approach.
  • Contribute to new business development and renewal opportunities by attending client meetings to explain the Beazley claims philosophy and approach to claims handling, and discussing any claims issues.
  • Proactively identify and raise any issues with Policy wordings.
  • Execute Claims talent strategy, including management of Claims BPS team to meet resourcing needs.
  • Ensure proper development of team, by providing career growth opportunities and mentorship to team and actively managing performance concerns as needed.
  • Work with the CTL to maximize the productivity, efficiency, and quality of focus group members through active monitoring of claims management information ("MI").
  • Proactively manage claims, including escalated and high exposure claims arising in the focus group, from notification to closure, investing the necessary level of involvement required for each claim depending on, inter alia, the nature, category, maturity, type, and quantum of the claim.
  • Develop, iterate, document, and execute claims strategies taking into account uncertainties, key decisions, potential outcomes, and estimated associated costs.
  • Understand and implement Beazley's "Treating Customers Fairly" policy.
  • Follow at all times Beazley's Claims Reserving Philosophy and Claims Standards.
  • Present at quarterly pre-peer review meetings where needed. Consult with the CTL, Claims Team Head, and relevant product team underwriters regarding any major developments or recommendations in advance of the quarterly meetings.
  • Regularly review individual claims within the focus group in order to ensure consistency of financials across the focus group, and keep reserves and records up to date as required by Beazley's claims controls and standards.
  • Proactively oversee high profile or severity claims within focus group. As appropriate, work with the responsible claim managers to provide guidance and support.
  • Identify claims issues and trends within the focus group and engage with the CTL and other teams as appropriate.
  • Ensure that claims within the focus group are appropriately assigned within the team and escalations are communicated timely to the CTL and other relevant stakeholders.
  • Ensure consistent handling of coverage issues across the focus group. Proactively communicate with CTL regarding any potentially contentious or litigated coverage disputes.
  • Advise Reinsurance and Finance of any material claims as set out in the claims authority and claims protocols and procedures and support Reinsurance in effecting recoveries
  • Work with the CTL and CBMT to support the development of a continuous improvement culture within Claims, leveraging standardised processes and shared service functions as appropriate.
  • Work with the CTL and CBMT to ensure Beazley claims management roles and processes are executed as defined in the context of the broader operating model.
  • Ensure prompt and timely completion of claims transactions and communication by monitoring the timelines of performance through the use of relevant Management Information.
  • Work with the CTL on any claims outside the focus group's claims authority, claims with broader reputational or business ramifications, and any large, systemic, or contentious claims within the focus group.
  • Collaborate with other FGLs and the Small Business Claims teams to ensure consistent claims handling of similar products.
  • Work closely with product team underwriters to ensure constructive interactions between the claims and underwriting functions.
  • Work with the CTL in the continual development and implementation of Beazley's claims controls, and ensure that the team complies with all relevant regulations and Beazley's claims control standards and protocols.
  • Ensure that all claims related complaints are reported and resolved in a timely manner in accordance with the complaints procedure.
  • Work proactively to develop and manage strong relationships with key brokers and clients.
  • Follow Beazley's procedures for the selection and retention of third-party professionals and manage these relationships to the benefit of Beazley.
  • Work with the CTL to execute strategy for oversight and management of external spend to ensure efficiency, consistency, and appropriateness of the same.
  • Coordinate with CBMT to oversee key vendors, including file reviews or audits, and resolution of any issues identified during those activities.
  • Proactively review data regarding all third-party professionals working on claims in the focus group to ensure with claims service requirements, claims best practices, and cost efficiency.
  • Where applicable, proactively monitor any TPA arrangements, including providing regular feedback on the claim actions undertaken by any TPA, proposing strategies for future claims handling, reviewing case reserve adequacy, and ensuring the TPA remains focused on claim finalisation.

Periodically review TPA performance data consistency with claims service requirements, claims best practices, and financial goals.

General

It is important that within all your interactions both internally and externally you adhere to Beazley's core values - Being Bold, Striving for Better, and Doing the Right Thing - as they contribute to an internal environment of teamwork and promote a positive brand image and experience to our external customers.

We also expect Beazley employees to :

Comply with Beazley procedures, policies and regulations including the code of conduct which incorporates the PRA and FCA Conduct.

Undertake training on Beazley policies and procedures as delivered by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) either directly, via e-learning or the learning management system.

  • Display business ethics that uphold the interests of all our customers.
  • Ensure all interactions with customers are focused on delivering a fair outcome, including having the right products for their needs.
  • Comply with any specific responsibilities necessary for your role as outlined by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) and ensure you keep up to date with developments in these areas.

This may include, amongst others, Beazley's underwriting control standards, Beazley's claims control standards, other Beazley standards and customer relationship management.

Carry out additional responsibilities as individually notified, either through your objectives or through the learning management system.

These may include membership of any Beazley committees or working groups.

Personal Specification :

Education and Qualifications

Graduate calibre

Skills and Abilities

  • Good leadership skills with the ability to influence and manage a team of professionals
  • Process management skills - able to review existing processes and procedures; making recommendations for rationalisation / improvement
  • General commercial and financial knowledge
  • Strong communication skills - able to communicate with and influence stakeholders at all levels, both verbally and in writing.
  • Good motivational skills - able to build and manage strong teams
  • Strong focus on time management, able to manage several diverse and concurrent projects
  • A demonstrable track record of strategic thinking
  • Strong analytical skills with the ability to analyse financial statements, make financial assessments of claims, etc.
  • Hands-on implementer, able to drive through change where appropriate

Knowledge and Experience

  • Claims Management / technical insurance knowledge
  • Cyber or EPI Claims experience advantageous but not a prerequisite
  • Legal experience and ability to analyse legal issues in different jurisdictions
  • Experienced in US and international business
  • Demonstrable process / project management skills
  • Experience of claims management guidelines, claims processes and systems
  • Client service experience gained within an insurance environment
  • Experience of managing team of technically strong professionals working on diverse projects
  • Experience of managing teams with a demanding and pressurised workload
  • Experience of implementing process improvement, ideally within a traditional environment

Aptitude and Disposition

  • Achievement orientated
  • Self-motivated, flexible and enthusiastic
  • High energy and personal drive

Competencies

  • Problem solving
  • Decisiveness
  • Customer focused
  • Influencing others
  • Teamwork
  • Self-starter
  • Analytical thinking
  • Managing resources effectively
  • Technical competency and expertise
  • Strong interpersonal skills
  • Task focused completer / finisher

Salary for this role will be tailored to the successful individual's location and experience. The expected compensation range for this position is 160k - 180k per year plus discretionary annual bonus.

You will be able to discuss your salary expectations should you be contacted about this role.

This document is subject to review after consultation with your Manager.

Responsibilities

Key Responsibilities :

Strategy and Business Planning

  • Assist the CTL to develop and execute delivery of the Beazley claims vision.
  • Work closely with CTL and relevant product team underwriters to achieve integrated claims

and underwriting business plans for the product, including contributing to preparation and

realisation of the annual claims product team business plans.

Share and develop best practices both within the focus group and where relevant with other

teams.

Share information and collaborate with relevant counterparts to ensure consistency in claims

handling.

Support the CTL and provide inputs into claims strategy and business planning activities as

appropriate.

Partnering with Underwriting

Work closely with product team underwriters to share information, coordinate on strategies,

product development, and maintain consistent approach.

Contribute to new business development and renewal opportunities by attending client

meetings to explain the Beazley claims philosophy and approach to claims handling, and

discussing any claims issues.

Provide Underwriting with input regarding actual or anticipated claims experience of specific

clients.

Provide product team underwriters with timely input regarding perceived claims trends and

developments.

Identify and raise any issues with Policy wordings.

Focus Group Team Management and Development

Manage actively direct reports including overseeing their individual performance throughout

the year and as a part of the semi-annual appraisal process. Promptly consult with the CTL

regarding any performance issues or areas for additional support or development

opportunity.

Work closely with the CTL and Culture & People to recruit, onboard, retain, and develop

claims professionals of various experience levels to execute our claims strategy.

Ensure that all employees have the knowledge and the skills necessary to perform effectively

in their given roles and responsibilities and have appropriate job descriptions setting out

their responsibilities and reporting lines.

Advise the CTL of any resourcing needs based upon business plans, claim volumes,

workloads, and segmentation.

Work with the CTL to maximize the productivity, efficiency, and quality of work of focus

group members through active monitoring of claims management information ("MI").

  • Ensure optimal segmentation and allocation of claims across the focus group.
  • Assist in providing general claims and / or specific technical training to individual team

members.

Ensure all individuals within the focus group operate within approved claims authorities at

all times.

Mentor focus group members and help advance training and career progression.

Individual Claims Leadership

Proactively manage claims, including escalated and high exposure claims arising in the focus

group, from notification to closure, investing the necessary level of involvement required for

each claim depending on, inter alia, the nature, category, maturity, type, and quantum of

the claim.

Manage a portfolio of complex / high value claims (total value in excess of $500,000 to

Beazley) including Coverage Litigation with allegations of bad faith.

Develop, iterate, document, and execute claims strategies taking into account uncertainties,

key decisions, potential outcomes, and estimated associated costs.

  • Operate within approved claims authority at all times.
  • Understand and implement Beazley's "Treating Customers Fairly" policy.
  • Follow at all times Beazley's Claims Reserving Philosophy and Claims Standards.

Claims Portfolio Management / Pre-peer

Present at quarterly pre-peer review meetings where needed. Consult with the CTL, Claims

Team Head, and relevant product team underwriters regarding any major developments or

recommendations in advance of the quarterly meetings.

Regularly review individual claims within the focus group in order to ensure consistency of

financials across the focus group, and keep reserves and records up to date as required by

Beazley's claims controls and standards.

Proactively oversee high profile or severity claims within focus group. As appropriate, work

with the responsible claim managers to provide guidance and support.

Identify claims issues and trends within the focus group and engage with the CTL and other

teams as appropriate.

Ensure that claims within the focus group are appropriately assigned within the team and

escalations are communicated timely to the CTL and other relevant stakeholders.

Ensure consistent handling of coverage issues across the focus group. Proactively

communicate with CTL regarding any potentially contentious or litigated coverage disputes.

Advise Reinsurance and Finance of any material claims as set out in the claims authority

and claims protocols and procedures.

Work with Reinsurance to effect recoveries.

Operational

Work with the CTL and CBMT to support the development of a continuous improvement

culture within Claims, leveraging standardised processes and shared service functions as

appropriate.

Work with the CTL and CBMT to ensure Beazley claims management roles and processes

are executed as defined in the context of the broader operating model.

Lead and manage the focus group by ensuring the effective management of claims, timely

and appropriate claims settlements, and the effective management of conflicts of interest.

Ensure timely escalation and documentation of complex or high-profile claims, consistent

with Group Claims, Roundtable Procedures, reserving guidelines, and individual authority

letters.

Ensure prompt and timely completion of claims transactions and communication by

monitoring the timelines of performance through the use of relevant Management

Information.

Work with the CTL on any claims outside the focus group's claims authority, claims with

broader reputational or business ramifications, and any large, systemic, or contentious

claims within the focus group.

  • Collaborate with other FGLs to ensure consistent claims handling of similar products.
  • Work closely with product team underwriters to ensure constructive interactions between

the claims and underwriting functions.

  • Liaise with Underwriting on any large or contentious claims within their business area.
  • Work with the CTL in the continual development and implementation of Beazley's claims

controls, and ensure that the team complies with all relevant regulations and Beazley's

claims control standards and protocols.

Ensure that all claims related complaints are reported and resolved in a timely manner in

accordance with the complaints procedure.

Execute the focus group's plan to strengthen broker and client relationships.

Broker and Client Relations and Thought Leadership

  • Work proactively to develop and manage strong relationships with key brokers and clients.
  • Act as primary point of escalation within the focus group.
  • Escalate any contentious issues to the CTL, Claims Team Head, and GHOC, as appropriate.
  • Promote the Beazley brand of excellence and professionalism in client service.
  • Obtain and analyse feedback from clients and brokers on our service and use to drive

continuous improvement.

Work with the CTL to execute strategy for elevating Beazley's market profile and

strengthening client and broker relationships through relevant, timely thought leadership,

and general marketing activities.

Serve as focus group's subject matter expert for relevant product lines, including training

and presentations for the focus group and relevant underwriting teams.

Claim Data and Trend Analysis

  • Proactively monitor and ensure data integrity within the focus group.
  • Identify and communicate relevant information on claims trends to the CTL and

Underwriting.

Vendor Management

Follow Beazley's procedures for the selection and retention of third-party professionals and

manage these relationships to the benefit of Beazley.

Work with the CTL to execute strategy for oversight and management of external spend to

ensure efficiency, consistency, and appropriateness of the same.

Coordinate with CBMT to oversee key vendors, including file reviews or audits, and

resolution of any issues identified during those activities.

Proactively review data regarding all third-party professionals working on claims in the focus

group to ensure with claims service requirements, claims best practices, and cost efficiency.

Where applicable, proactively monitor any TPA arrangements, including providing regular

feedback on the claim actions undertaken by any TPA, proposing strategies for future claims

handling, reviewing case reserve adequacy, and ensuring the TPA remains focused on claim

finalisation. Periodically review TPA performance data consistency with claims service

requirements, claims best practices, and financial goals.

Conflicts of Interest

Adhere to Beazley's Conflicts of Interest policy, alert the appropriate person to any potential

conflicts of interest, and take steps to resolve them promptly.

Immediately advise the GHOC if any Beazley employee seeks to exert undue influence on

you or any other team member to act improperly in the management, reserving, or

settlement of any claim.

General

At Beazley we are committed to doing the right thing because it is the right thing to do. It is important

that within all your interactions both internally and externally you adhere to this principle through

adoption of Beazley's core values and behaviours - PIED and Being Beazley.

Adopt the Beazley culture of Professionalism, Integrity, Effectiveness, and Dynamic that

contributes to an internal environment of teamwork and promote a positive brand image

and experience to our external customers.

Comply with Beazley procedures, policies, and regulations, including the code of conduct

which incorporates the PRA and FCA Conduct Rules.

Undertake training on Beazley policies and procedures as delivered by your line manager,

People & Culture, or the assurance teams (compliance, risk, internal audit) either directly,

via e-learning, or the learning management system.

  • Display business ethics that uphold the interests of all our customers.
  • Ensure all interactions with customers are focused on delivering a fair outcome.
  • Comply with any specific responsibilities necessary for your role as outlined by your line

manager, People & Culture, or the assurance teams (compliance, risk, internal audit) and

ensure you keep up to date with developments in these areas. This may include, amongst

others, Beazley's claims control standards, other Beazley standards, and customer

relationship management.

Carry out additional responsibilities as individually notified, either through your objectives

or through the learning management system. These may include membership in Beazley

committees or working groups.

Person Specifications

Personal Specification :

Education and Qualifications

Graduate calibre

Skills and Abilities

  • Good leadership skills with the ability to influence and manage a team of professionals
  • Process management skills - able to review existing processes and procedures; making

recommendations for rationalisation / improvement

  • General commercial and financial knowledge
  • Strong communication skills - able to communicate at all levels, both verbally and in writing
  • Good motivational skills - able to build and manage strong teams
  • Strong focus on time management, able to manage several diverse and concurrent projects
  • A demonstrable track record of strategic thinking
  • Strong analytical skills with the ability to analyse financial statements, make financial

assessments of claims, etc.

Hands-on implementer, able to drive through change where appropriate

Knowledge and Experience

  • Experience in insurance industry, including preferably the Lloyd's Market
  • Experienced in US / international business
  • Demonstrable process / project management skills
  • Experience of claims management guidelines, claims processes and systems
  • Client service experience gained within an insurance environment
  • Experience of managing team of technically strong professionals working on diverse projects
  • Experience of managing teams with a demanding and pressurised workload
  • Experience of implementing process improvement, ideally within a traditional environment

Aptitude and Disposition

  • Achievement orientated
  • Self-motivated, flexible and enthusiastic
  • High energy and personal drive

Competencies

  • Problem solving
  • Decisiveness
  • Customer focused
  • Influencing others
  • Team work
  • Self-starter
  • Analytical thinking
  • Managing resources effectively
  • Technical competency and expertise
  • Strong interpersonal skills
  • Task focused completer / finisher

This document is subject to review after consultation with your Manager.

LI-AM1

16 days ago
Related jobs
Promoted
Beazley Group
Farmington, Connecticut

Work with the CTL on any claims outside the focus group's claims authority, claims with broader reputational or business ramifications, and any large, systemic, or contentious claims within the focus group. Key Relationships: Group Head of Claims ("GHOC"), Claims Team Head ("Head of"), Claims Te...

Promoted
TEKsystems
Avon, Connecticut

The Customer Service representative  should have clear communication skills, both with phone calls and through email. Leading Healthcare consultant Company is hiring a Customer Service PRofessionals! Avon, CT. This role offers individuals the ability to work alongside one of the top-rated healthcare...

Promoted
Professional Career Solutions
Middletown, Connecticut

We're looking for candidates with great customer service skills to fill our Remote Customer Service role!. Previous experience in customer service or sales is a plus. We're seeking someone who is great with people, building relationships, and putting customers first. Ability to listen to and underst...

Promoted
BeWell Care at Home
East Hartford, Connecticut

Previous experience as an Administrative Assistant or in a similar position. High school diploma/GED required, Associates degree or administrative training is preferred. ...

Promoted
Standard American Solar
Hartford, Connecticut
Remote

We are looking for an enthusiastic individual for our full time customer service role with excellent time management skills and who is committed to delivering exceptional customer service in every interaction. Prior customer service & client care experience is preferred but not required. Underst...

Promoted
Mercy Housing & Shelter Corp
Hartford, Connecticut

Administrative Assistant (MSP). The Administrative Assistant will work to support the Mission of My Sisters’ Place, which is committed to ending homelessness and empowering women, families, and others in Greater Hartford to achieve independence and stability in their communities by providing h...

Promoted
Team Gabriel at Coldwell Banker
East Windsor, Connecticut

Join Our Team as a Dynamic Real Estate Office Assistant!. Are you ready to dive into the fast-paced world of real estate and make a significant impact? We're on the lookout for an energetic and dedicated individual to join our team as a real estate office assistant. ...

Promoted
T.R.U.E. Self Counseling LLC
Manchester, Connecticut

Administrative Assistant (AA) is responsible for supporting the Mental health professionals to help them stay organized and complete tasks that allow them to focus on more advanced responsibilities. High school diploma or equivalent education required 3 years of administrative assistant experience. ...

Vasu Agency
Hartford, Connecticut

If you are interested in working with an amazing team, with full training from the ground up, weekly pay, and flexible hours, read below.We are looking to hire 3 new team members by the end of this week.When you apply, please check your email for interview options.Our ideal candidate is a person who...

The Jackson Laboratory
Farmington, Connecticut

Acts as a liaison between assigned Staff and the Director's Office, Office of Sponsored Research Administration and other administrative areas of the institution, as well as applicable administrative areas of external organizations often serving as the first point of contact for visitors, collaborat...