Job Title

Claims 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 but not limited to various lines of reinsurance claims and in various systems. This role will be responsible for learning claims-handling best practices and plans for direct handling of reinsurance.  The candidate may manage a portfolio of reinsurance claims that include higher exposure, greater severity and/or complexity.  Account / administrative duties include file documentation, payment processing/assistance, and drafting market summaries. Claims handing duties may include resolution of coverage and liability issues, claim evaluation, establishment of adequate reserves, litigation management, case resolution and transaction processing, and implementation of strategic initiatives relating to liability work matters, in alignment with the Company’s Strategic Vision. 

Essential Functions

• Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines reinsurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
• Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving umbrella and excess policies.
• Manages litigation with agreed upon counsel under carrier approved fee arrangements pursuant to counsel/litigation guidelines.
• Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language.
• Assigns and manages work of defense counsel, approval and monitoring of expert witnesses and interfacing with peer carriers including analysis of indemnity contracts and cost sharing, evaluation of liability and damages, participation in settlement negations and mediations, drafting and/or reviewing settlement agreements and releases.
• Ensures proper file setup, reserving, general handling and application of company procedure.
• Participates in developing claims handling strategy, including defense coordination, litigation strategy and budgets, and expense control.
• Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records.
• Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure, reports to the proper MGA, Carrier, and/or Syndicate
• Performs special projects and assignments related to area of authority as necessary.
• Ability to accurately and timely analyze coverage and instruct and collaborate with counsel regarding litigation strategy and claim resolution and resolve claims and otherwise act within the scope of delegated authority.

Experience

• 2-3 years experience in the insurance industry

Required Education

Four-year college degree is required or applicable experience 

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.

Privacy Notice for California Residents

https://www.trg.com/california-consumer-privacy-notice/