Claim Manager – Analytics

Job Description – Claim Manager – Analytics

Industry: Insurance

Specialty: Reinsurance

Job Type: Full-time

Location: Remote

Job Description

We are seeking a talented Claim Manager with a strong background in analytics to join our team. The ideal candidate will be responsible for analyzing and interpreting claim data to drive strategic decisions and improve operational efficiency.

The Claim Manager will collaborate with various teams to develop and implement data-driven solutions, identify trends, and provide insights to enhance the overall claims process. This role offers the opportunity to make a significant impact within the insurance industry and contribute to the company’s success.

If you have a passion for data analysis, a keen eye for detail, and a desire to drive innovation in the reinsurance sector, we encourage you to apply for the Claim Manager – Analytics position.

Key Responsibilities:

  • Manages day to day operations of the Claim Analytics team, and Work Force Management and Operations Analytics team, which includes managing the capacity and resource planning within the teams, ensuring proper prioritization and optimization of the team’s bandwidth.

  • Must work to understand the business and partner with business owners to develop the necessary analysis to understand operational trends. Analysis may need to be ad hoc based on emerging issues.

  • Shares observations from analysis and helps to investigate drivers to help the business understand what action needs to be taken

  • Delivers monthly and quarterly reports, timely, to business users including Finance and other external business partners.

  • Assign projects to the team after reviewing business requests and needs that emerge from business trends; assesses current data structure, sources and resources and allocate accordingly, making recommendations for resources and access, as appropriate.

  • Ensures that proper controls are in place to generate a product that is complete, reviewed for accuracy and easy to use for end-user. Ensure that reporting is timely, well organized and in appropriate presentation format.

  • Cultivates a strong communication network to ensure insights are easy to understand and actionable – adapting methodologies to meet end user needs.

  • Select, train and develop an effective and efficient team of analysts that will also learn the business by learning the numbers.

  • Spend time coaching, mentoring, training, and developing their staff, addressing other responsibilities that need to be done at this level, and an appropriate work-life balance has been achieved.

  • Ensure that all analysis and reporting is well documented, and that process and source documentation is created and updated to preserve data integrity and traceability.

  • Support Data Governance objectives, act as Steward for Claim Organization.

  • Act as Claim and Operations Analytics representative in IT/Underwriting/Organizational changes that impact data.

  • Participate in other projects and activities as requested

Success Metrics:

  • Achieve performance goals set in support of business plan while successfully demonstrating Manager competencies

  • Delivers accurate, timely and reliable reporting and analysis, to both internal and external customers

  • Create an excellent work environment that delivers high levels of employee engagement and fosters a creative and innovative culture to drive continuous improvements

  • Build strong effective partnerships with Corporate Finance, Actuarial and Underwriting

  • Acts with a sense of urgency commiserate with the concern, issue or task, in light of company, department and customer impact

  • Effectively identifies emerging trends, understanding the drivers, and works with business partners on a plan to address any deteriorating results.

Computer Software Programs Required:

  • Microsoft Office – Advanced

  • Tableau/Lumira or other visualization software

  • Business Objects – Advanced

  • Other: Claim Vendor system knowledge

  • SAS/SQL – Intermediate

  • Other: Internet/Intranet knowledge

  • Claim System Applications – Intermediate

Training, Education, Special Skills Required:

  • Master’s Degree – preferred

  • Capable of analyzing and interpreting complex claim data and trends to enable the conversion of data to information to reveal claim performance trends, and information to actionable opportunities to drive continuous improvement in operations.

  • Ability to assess project risks and exposures; identify options and alternatives, make decisions, and implement improvements.

  • General knowledge of industry, practices, standards, and concepts within related operations and field of work.

  • Associate’s degree equivalent plus 10 years experience in insurance Claim or Finance

  • Bachelor’s Degree plus 5-8 years experience in insurance Claim or Finance

  • 2-4 or more years of leadership experience is desired.

  • Proven analytical, problem solving, and decision-making abilities particularly in the area of information displays and reports.

  • Proven project management skills: ability to plan, execute and control a project, establishing realistic estimates and reporting metrics, effectively allocate limited resources.

  • Strong negotiation, conflict resolution, and influencing skills.

Location

Boston, MA

Job Type

Full-Time Regular
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