Job Title 

Complex Assumed Claims Analyst

Location

Remote or Hybrid (Manchester, NH)

Summary

Reporting to a Manager, Assumed Claims, this role handles assumed claims of severity and complexity, including resolution of coverage and liability issues, claim evaluation, establishment of adequate reserves, claim resolution, transaction processing, and implementation of strategic initiatives.

Essential Functions

• Handles moderate to complex assumed claims (and those with increased financial risk to RiverStone Affiliates) effectively.
• Mentors and guides less experienced Assumed Claims Analysts.
• Displays strong review and analysis of complex treaty programs and facultative certificates.
• Displays strong knowledge of complex coverage and contract issues.
• Displays strong knowledge of how to track and understand complex corporate history transactions.
• Displays strong knowledge of underlying direct claims.
• Anticipates and identifies risks on cessions.
• Displays strong report writing and preparation skills.
• Operates independently with low to moderate management oversight of day-to-day functions.
• Displays increasing comfort with data analysis processes and works collaboratively with those subject matter experts. 
• Coordinates and manages workload so day-to-day claim handling functions remain prioritized along with the more complex functions the job demands.   
• Displays a commitment to RiverStone, a desire to understand other departments and business processes, and a commitment to continuously improve employee relationships as well as business practices.
• Reviews loss notices; confirms and interprets contract coverages; establishes adequate reserves; and investigates and handles assumed claims.
• Provides recommendations on reserves and payments.
• Interacts with cedants and brokers in the investigation of assumed claims.
• Participates in settlement negotiation with moderate assistance from management.
• Prepares necessary written reports.
• Handles moderate to high volume of diverse and dynamic assumed claims effectively.
• Anticipates and identifies risks on cessions.
• Serves on Companywide committees and projects as assigned.
• Develops creative ideas and solutions to real-time business problems and/or business opportunities; takes reasonable, calculated risks even if failure is possible.
• Empowers self and teammates to continuously improve RiverStone’s business processes/systems; develops and escalates solutions.
• Consistently delivers superior customer service to both internal and external business partners.
• Performs special projects and assignments related to area of authority as necessary.
• Maintains confidentiality.
• Establishes and maintains professional relationships.
• Assists in due diligence inquiries as assigned.

Required Skills

• Demonstrates ability and flexibility in a dynamic environment.
• Excellent analytical, interpersonal and communications skills, both written and oral.
• Capable of working independently and meeting assigned deadlines.
• Customer service oriented and able to develop lasting relationships with internal and external business partners.

Organizational

• Demonstrates alignment with RiverStone’s Commitments.
• Prioritizes and organizes work in self-directed manner.
• Attains and maintains knowledge of assigned department.
• Performs other duties as required, including supporting and coordinating with other department colleagues.

Experience

• Minimum of 5 years of experience in Assumed/Direct claims handling or experience in a related field.

Required Education

Four-year college degree required or equivalent work experience.

Preferred Education or Certification

JD, CPCU, SCLA, CCLA

Supervisory Role 

Schedule, assign, and review the work of others in compliance with specific instructions.

Travel

Moderate to frequent, based upon business needs.

Work Environment / Physical Demands

This position operates in a professional, collaborative environment and must have the ability to timely produce thorough, accurate work with many competing demands, deadlines, and distractions. The position uses standard equipment such as phones, computers, copiers/printers and filing cabinets. Noise level is moderate.

Other Duties (Disclaimer Statement): RiverStone retains the right to change or assign other duties to this position as needed, OR Other duties or responsibilities may change or be assigned as needed.

Core Competencies

Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything.

Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.

Process Management: Good at figuring out the processes necessary to get things done; knows how to organize people and activities; understands how to separate and combine tasks into efficient flow; knows what to measure and how to measure it; can see opportunities for synergy and integration where others can’t; can simplify complex processes; gets more out of fewer resources.

Sizing Up People: Is a good judge of talent; after reasonable exposure, can articulate the strengths and limitations of people inside or outside the organization; can accurately project what people are likely to do across a variety of situations.

Ethics and Values: Adheres to an appropriate (for the setting) and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches.

Written Communications: Is able to write clearly and succinctly in a variety of communication settings and styles; can get messages across that have the desired effect.

Negotiating: Can negotiate skillfully in tough situations with both internal and external groups; can settle differences with minimum noise; can win concessions without damaging relationships; can be both direct and forceful as well as diplomatic; gains trust quickly of other parties to the negotiations; has a good sense of timing.

Time Management: Uses his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities; gets more done in less time than others; can attend to a broader range of activities.

Diversity, Equity, Inclusion & Belonging

RiverStone Resources, LLC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law.

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