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AXIS (AXIS Capital) · 1 day ago

Senior Reinsurance Claims Specialist

New York, NY

Full-time

Hybrid

Mid, Senior Level

$120K/yr - $150K/yr

5+ years exp

AXIS Capital is a trusted global provider of specialty lines insurance and reinsurance, known for its outstanding client service and ethical corporate culture. The Senior Reinsurance Claims Specialist will manage a diverse portfolio of Accident and Health reinsurance claims, ensuring claims are handled efficiently while maintaining high service standards.

FinanceFinancial ServicesInsurance

Responsibilities

Proactively manage claims from notification through closure, investing the necessary level of involvement required for each claim depending on the nature of it

Analyze and determine eligibility of claims, verify claims are correctly ceded and verify proper policy provisions and limits are applied

Establish and monitor appropriate reserves

Resolve claims questions directly with cedents or brokers professionally

Engage with cedents, brokers and 3rd party vendors, to identify opportunities to assist in mitigation of claims utilizing a suite of cost containment services

Collaborate with other team members, including technical accounting, to get valid claims paid accurately and promptly within your authority level

Conduct claim audits for existing accounts/clients. Travel may be required

Collaborate with AXIS Re colleagues by sharing pertinent loss development information with underwriters and actuaries

Build strategic relationships in the industry to support informed and best in class reinsurance claims handling

Interact with colleagues across the organization to support strategic initiatives

Identify developing trends and anomalies in your book of claims and recommend appropriate strategies which could include changes to procedures, cost containment strategies, and client or peer education presentations, among other strategies

Participate in professional associations/professional development activities and industry conferences to gain expertise, industry information and insights, and to network

Identify process improvements to be reviewed and approved by more senior management

Engage in department wide initiatives and may prepare presentations for clients or colleagues from time to time

Qualification

Bachelor’s DegreeInsurance terminologyClaims adjudicationMicrosoft WordMicrosoft ExcelAnalytical skillsMedical report interpretationOrganizational skillsCommunication skills

Required

Bachelor's Degree or equivalent experience in insurance or reinsurance

5+ years experience with Employer Stop Loss, Fully Insured, and Managed Care claims adjudication

A firm understanding of insurance and reinsurance terminology, including familiarity with various lines of business insurance coverage and reinsurance treaty types

The ability to evaluate insurance claims and exposures for proper reserving under a reinsurance program

An understanding of common reinsurance contract terms and conditions, including business covered, common exclusions, aggregate limits, treaty limits, retentions, how to apply annual aggregate deductibles, and the impact of the reinsurance contract terms and policy conditions to each claim

Ability to communicate with brokers and cedents in a timely and concise manner

Strong Microsoft Word and Excel skills

Preferred

High standard of professional conduct

Strong analytical and organizational skills

Ability to liaise with individuals across a variety of operational and technical disciplines

Ability to read and interpret medical reports, clinical experience a plus

Benefits

Medical plans for you and your family

Health and wellness programs

Retirement plans

Paid vacation

Competitive target incentive compensation

Company

AXIS (AXIS Capital)

In a world that never stands still – where the nature of risk is constantly evolving and the needs of your customers are continually changing – you need a partner that turns challenges into possibilities and possibilities into opportunities.

Founded in 2001

Hamilton, Hamilton, BMU

1001-5000 employees