Claims Analyst

The RiverStone Group; Village of Rockville Centre (NY); Hybrid; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Claims Analyst to oversee administrative client management in reinsurance. This dynamic role involves handling various claims, developing strategies, and ensuring compliance with company policies. The ideal candidate will possess strong analytical, negotiation, and communication skills while managing a diverse portfolio of claims. This position offers the opportunity to work in a hybrid or remote environment, promoting a balance between professional and personal life. Join a forward-thinking team dedicated to continuous improvement and delivering exceptional service to clients.

Qualifications

• Strong analytical and negotiation skills are essential for this role.
• Ability to manage a high volume of diverse claims effectively.

Responsibilities

• Handle and monitor commercial and personal lines insurance claims.
• Develop claims handling strategies and ensure compliance with policies.

Skills

Knowledge of Intellectual Property claims

Negotiation skills

Communication skills

Technical writing skills

Analytical skills

Organizational skills

Interpersonal skills

Tools

Microsoft Office

Job description

Job Title

Claims
s Analyst (Reinsurance)

Location

Hybrid (Rockville Centre, NY) or Remote

Summary

This position is with Rockville Risk Management Associates, a third-party administration arm of The RiverStone Group. Reporting to the Unit Manager of Reinsurance, this role is responsible for administrative client oversight on various accounts, including claims across different lines of reinsurance and systems. The candidate will learn claims-handling best practices and plans for direct handling of reinsurance, managing a portfolio that may involve higher exposure, severity, and complexity. Responsibilities include file documentation, payment processing, drafting market summaries, and handling claims issues such as coverage, liability, reserves, litigation, and strategic initiatives aligned with the company's vision.

Essential Functions

1. Handle and monitor commercial and personal lines insurance claims, analyze coverage, establish reserves, and resolve claims.
2. Review loss notices, interpret policies, and handle claims involving umbrella and excess policies.
3. Manage litigation with counsel under approved fee arrangements and guidelines.
4. Maximize risk transfer opportunities through contracts or insurance policies.
5. Manage defense counsel, expert witnesses, and coordinate with peer carriers, including analysis of contracts, liability, damages, settlement negotiations, and drafting agreements.
6. Ensure proper file setup, reserving, handling procedures, and compliance with company policies.
7. Develop claims handling strategies, including defense coordination, litigation planning, and budget management.
8. Maintain records of claims information and financial/statistical data.
9. Maintain diary controls, analyze reserves, and report exposures to relevant parties.
10. Handle a high volume of diverse claims effectively.
11. Make decisions within scope and seek guidance when needed.
12. Develop creative solutions to business problems and opportunities, taking calculated risks.
13. Promote continuous improvement and technical development within the team.
14. Deliver excellent customer service to internal and external partners.
15. Understand and manage Key Performance Indicators.
16. Perform special projects and maintain confidentiality.
17. Build and maintain professional relationships.
18. Assist with Due Diligence inquiries and travel as required.
19. Obtain and maintain claims adjuster licenses as needed.
20. Mentor less experienced analysts and support departmental problem-solving.
21. Participate in company committees and projects.

Related Functions

• Adaptability in a dynamic environment.
• Strong analytical, communication, and interpersonal skills.
• Customer service focus and ability to develop long-term relationships.
• Organizational skills for managing multiple priorities.
• Critical thinking and negotiation skills.
• Ability to delegate and follow up effectively.
• Effective verbal and written communication.

Required Skills

• Knowledge of Intellectual Property, Tech Errors and Omissions, and Cyber liability claims.
• Negotiation, communication, and technical writing skills; proficiency in Microsoft Office and internet research.
• Strong organizational and interpersonal skills.
• Ability to analyze coverage and collaborate with counsel within delegated authority.

Organizational

• Alignment with company commitments.
• Self-directed prioritization and organization.
• Knowledge of departmental functions and willingness to support team efforts.