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About the Role
The Senior Claims Analyst will independently review, validate, adjust, or route reinsurance claims to ensure accurate and fair handling in line with policy terms and regulatory expectations. This client-focused role involves managing a caseload of claims, delivering excellent customer service, and identifying issues for escalation. The position also involves providing first-line triage and support for the Claims Analyst Team and acting as a subject matter expert for systems and processes.
Responsibilities
- Perform First Notice of Loss (FNOL) review on incoming claims.
- Assign claims post-triage, referring complex losses, retaining mid-complexity losses, or delegating straightforward claims.
- Review contracts/policies to confirm coverage.
- Assess and determine claim complexity, risk, and value in line with policy terms and authority limits.
- Identify and refer complex, unusual, or high-risk claims.
- Handle, close, and follow up on assigned claims manually and electronically.
- Transact on assigned claims within authority, including setting reserves and authorizing payments.
- Produce clear, accurate case notes explaining decisions and rationale.
- Collaborate in the account management of assigned accounts/lines of business.
- Act as an escalation point for complex cases.
- Anticipate client needs and expectations, delivering superior customer service.
- Work effectively with others in the claim department to ensure prompt turnaround.
- Communicate claim issues with internal or external stakeholders and represent SCOR’s interests.
- Provide technical advice and direction to developing Claims Analysts.
- Demonstrate strong Quality Assurance (QA) outcomes.
- Support QA activity by reviewing themes, root causes, and improvement actions.
- Support oversight of claims management and performance of TA&A teams.
- Ensure claims files meet governance, documentation, and audit standards.
- Perform data analysis to evaluate portfolios.
- Participate in Audit Committees as required.
- Contribute to updates of guidance, procedures, and decision frameworks.
- Manage workload effectively to meet service level agreements (SLAs).
- Balance productivity with technical accuracy and risk management.
- Support team delivery during peaks or more complex caseloads.
- Identify opportunities to improve claims processes, controls, or guidance.
- Lead, participate, or support change initiatives, system enhancements, and transformation activity.
- Share insights from complex cases to improve overall claims capability.
Requirements
- At least 3 years of Claims management experience, with claims emanating from standard Marine lines of business.
- Competency with claim handling systems and processes.
- Strong understanding of claims governance, controls, and quality standards.
- Exercises sound judgement in making decisions, especially in complex or ambiguous situations.
- Demonstrates the confidence to be inquisitive and ask questions when needed.
- Ability to assess complex information, identify key insights, and effectively communicate holistic views.
- Strong communication and stakeholder-management skills.
- Excellent written and verbal communication skills, with the ability to present complex information clearly and concisely.
- Data-driven mindset with experience using MI to manage performance and risk.
- Proven ability to act as part of a team yet dependable enough to operate independently.
- Flexibility and adaptability required in order to manage volume.
- Excellent time management skills and ability to multi-task and set priorities.
Skills
- Marine claims handling
- Hull & Machinery
- Cargo
- Claims assessment
- Claims adjustment
- Policy review
- Coverage determination
- Risk assessment
- Authority limit application
- Reserve setting
- Payment authorization
- Case note documentation
- Customer service
- Stakeholder management
- Quality assurance
- Data analysis
- Process improvement
- Change management
- System expertise
Location
- Remote
Work Type
- Full-time
Experience Level
- Senior
Education Level
- University/College Degree preferred
- Industry certification/designation a plus
About the Company
- As a leading global reinsurer, SCOR offers its clients a diversified and innovative range of reinsurance and insurance solutions and services to control and manage risk.
- Applying “The Art & Science of Risk,” SCOR uses its industry-recognized expertise and cutting-edge financial solutions to serve its clients and contribute to the welfare and resilience of society in around 160 countries worldwide.
- Working at SCOR means engaging with some of the best minds in the industry – actuaries, data scientists, underwriters, risk modelers, engineers, and many others – as we work together to find solutions to pressing challenges facing societies.
- As an international company, our common culture is defined by “The SCOR Way.”
- The SCOR Way is anchored by five core values: We care about clients, people, and societies. We perform with integrity. We act with courage. We encourage open minds. And we thrive through collaboration.
Equal Opportunity
- SCOR supports inclusion and the diversity of talents, and all positions are open to people with disabilities.