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    AVP - North America A&H Claims - Wilmington, United States - Marshallbayley

    Marshallbayley
    Marshallbayley Wilmington, United States

    1 day ago

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    Description
    Dallas, TX / Wilmington, DE / Chesapeake, VA

    | Onsite

    We are engaged by a global insurance carrier who are seeking an A&H Claims AVP. The role is focused on claim execution and outcomes, best practices development, and in building strategic capabilities. The ideal candidate will need to understand the various products associated with the Enhanced Banking credit card programs.

    Key aspects of the job include being responsible for driving the delivery of customized claim account management which includes the technical and business relationship needs of the customer, producer, and internal business division that produces the business.


    Responsibilities:
    Provide oversight and direction for overall claims quality, outcomes, and customer service of the enhanced banking program

    Work as part of a team to review and respond to all Enhanced Banking claim referrals

    Leverage data to understand performance and production, drive key audits, identify trends, determine service/quality gaps, and develop specific tactics and strategies to resolve issues

    Manage all vendor relationships and ensure their performance meets or exceeds best practices and SLAs, cost containment, and quality assurance

    Assist with TPA contracts and business placement to align with business goals and objectives

    Ensure that the claim platform features/experiences are measured, requirements defined, and capabilities delivered based upon a clear strategic vision and roadmap

    Ensure the functional performance of the claims operation by leading and supporting the development and implementation of claims best practices, operating models, and customer service standards

    Ensure the A&H/Life/Enhanced Banking Claims Strategy is aligned with business plans, needs and priorities

    Develop and implement strategies for the effective reserving and handling of claims to achieve service delivery excellence

    Identify ways that claims processes can generate data useful to the pricing, segmentation, and management of our business. Work with underwriting, actuaries, and IT leaders to improve granularity, quality, and accessibility of claim data

    Monitor and analyze changes in the legal and regulatory claims environment. Communicate trends and developments to executive leadership

    Ensure a competent and motivated staff through hiring, training, retaining, directing, and mentoring of the claims staff

    Build strong relationships with key internal/external business partners


    What we're looking for:
    Bachelor's degree. A MBA, Master's Degree, or J.D. is a plus.

    Recognized Industry Claim Designations Preferred and Adjuster Licenses

    At least 5+ years claims and people leader experience across multiple product lines and distribution channels, preferably including Accident & Health/Life/Enhanced Banking including credit card benefits

    Multi-lined claim background, including Workers Compensation or General Liability is a plus

    Highly data literate with strong analytical skills

    Proven effective leadership, people management, interpersonal, collaboration, written communication, and oral communication skills

    Proven track-record of driving operational efficiencies, claim outcomes, and exemplary customer service

    Financially astute as well as demonstrated strong decision-making and prioritization skills

    The ability to work in a complex, fast paced, and matrixed environment

    A thorough knowledge of global insurance products, contracts, regulatory languages, and claims practices and operations

    Demonstrated ability to set and meet challenging objectives derived from and in support of strategic goals.

    Experience working with claims in international markets preferred

    Ability to adapt and embrace change

    Excellent verbal/written communication and executive presentation skills

    Willingness to travel approximately 30%

    #J-18808-Ljbffr
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