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Posted December 19, 2016

Job Title: Associate Director, Technical Claims Services

Reinsurance Group of America, Incorporated (NYSE: RGA) is a leader in the global life reinsurance industry with approximately $2.9 trillion of life reinsurance in force and assets of $44.7 billion. We are one of the largest life reinsurance companies in the world; is currently hiring for an Associate Director, Technical Claims Services.

Position Overview
The Associate Director of Technical Claims Services, provides technical claims expertise to RGA Reclaims associates and clients. Conducts internal claims audits to evaluate the quality of the claims reviews. Identifies process improvements and needs for training. Performs external client audits to verify accuracy of claims adjudication practices and to ensure compliance with the terms of the treaty (ies). Develops relationships with client companies and RGA Re associates to ensure desired changes in practice are obtained. Reviews and approves the liability on large, complex claims. Provides technical expertise on disputed claims. Represents RGA Re in various claims industry activities. May manage senior claims staff.

Responsibilities

  • Develops and implements processes which allows RGA Re to identify and resolve unfavorable trends in ceding company claims handling.
  • Establishes and implements an internal and external process for effective customer claims evaluations and feedback.
  • Represents RGA Re at industry meetings (presenter, committee member) and exercises influence, as appropriate, with customers.
  • Develops positive relationships with customers and encourages their overall customer practice to the advantage of RGA Re.
  • Keeps up-to-date with changes in claims adjudication for direct insurance writers. Maintains an awareness of vendors to ensure quality and service. Acts as a resource to customers and other RGA Re associates to assure knowledge transfer.
  • Participates in the identification of service opportunities that will encourage enhanced client claim handling.
  • Acts in a consulting role with clients and RGA Re associates on large and complex claims.
  • Works with all departments in the Operations division and other departments within RGA Re to identify and resolve problems/issues.
  • Recommends and participates in the development and implementation of process improvements that may extend beyond area of oversight and with the approval of Operations leadership.
  • Collaborates with other members of the US Ops Management team to implement and manage to goals/plans/budgets that align with division and company objectives.

Requirements

Education and Experience

Required:

  • Bachelor's degree or equivalent related experience
  • 8+ years individual life claims experience and 5+ years in supervisory or managerial role

Preferred:

  • Reinsurance industry knowledge
  • Progress toward FLMI, ALHC or other relevant professional accreditation

Skills and Abilities

Required:

  • Intermediate Microsoft Word Skills
  • Intermediate Microsoft Excel Skills
  • Basic Microsoft Outlook Skills
  • Intermediate SQL Skills
  • Experience in conducting and summarizing audits
  • Demonstrated expertise in the technical considerations associated with life claims investigations, adjudications and litigation.
  • Demonstrated understanding of the financial reporting implications of the life/health claims process.
  • Competent ability to comprehend and interpret insurance and contract documents.
  • Ability to multi-task and meet tight deadlines
  • Ability to share and impart knowledge
  • Advanced written and oral communication skills and organizational skills
  • Ability to balance detail with department goals/objectives
  • Advanced persuasion skills when working with external customers to resolve issues/problems.
  • Advanced ability to investigate, analyze and solve complex problems/issues.
  • Advanced interpersonal skills, demonstrating the ability to manage, mentor and develop support staff.
  • Ability to manage multiple teams or projects
  • Advanced ability to foster a teamwork and customer service focused environment.
  • Knowledge of medical terminology
  • Ability to travel 15 to 20% of the work schedule
  • Must be flexible and adaptive to change
  • Ability to resolve conflict
  • Ability to improve processes and add value

Preferred:

  • Advanced Query Skills

If you are looking for a great challenge with a progressively growing company please contact: Opal Jackson @ ojackson@rgare.com or call (636)-736-3420 for more detail.


Posted December 19, 2016

Job Title: Vice President & Deputy General Counsel

Business/Operating Units: Law

Position: 3409

Department: Law Management & Administration

Employment Status: Exempt

Summary of Responsibilities:

Provides legal services on complex insurance and annuity-related matters and/or on matters involving large dollar amounts with little day-to-day supervision. Reports to Vice President & Deputy General Counsel.

Position Responsibilities:

  • Advises business units and shared services units on legal matters relating to insurance and annuity administration, underwriting, policy service and insurance claims. Offers expertise and advice on complex legal issues related to life insurance and annuities.
  • Assists the Compliance Department in responding to:
    • Market conduct examinations undertaken by state insurance departments.
    • Customer complaints submitted directly to the Company or through state insurance departments.
    • Requests and inquiries from various regulatory or judicial authorities.
  • Communicates and negotiates with opposing counsel and regulatory authorities to resolve litigation and disputes.
  • Manages and handles routine litigation matters and other projects, including claims disputes and interpleaders, with little direction or supervision.
  • Drafts, negotiates and finalizes complex legal contracts and documents.
  • Undertakes complex research assignments from General Counsel and/or Deputy General Counsel.
  • Assists other attorneys as needed with litigation matters and other projects they are overseeing.
  • Effectively and efficiently manages outside counsel substantively on issues as well as on budget.
  • Provides regular training presentations on various legal topics of interest to Company associates in operations, underwriting, claims, and other administration and servicing areas.
  • Is detail-oriented and resourceful with excellent follow-through skills.
  • Performs other duties as assigned by management.

Selection Criteria:

  • Minimum of six years' experience in the role of Counsel or equivalent in title and experience handling insurance and/or annuity administration matters.
  • Demonstrated experience in a corporate legal department and/or law firm, working independently with clients on complex insurance-related matters.
  • Proven leadership abilities and excellent communication/interpersonal skills.
  • Demonstrated excellent issue identification, negotiation and conflict resolution skills (creativity and problem solving).
  • Proven strong analytical skills, including demonstrated experience identifying, defining and resolving complex problems and collecting, quantifying or interpreting data to establish facts, draw valid conclusions and provide creative resolutions. Must be able to cite examples of sound judgment, initiative and good decision-making skills when dealing with multiple alternatives.
  • Demonstrated ability to conceptualize and use new methodologies.
  • Proven experience in working with complex data and analyzing the quality of the output provided.
  • Demonstrated strong contract drafting and verbal and written communication skills.
  • Demonstrated ability to convey information, verbally and in writing, to internal and external customers in a clear, accurate, focused and concise manner.
  • Proven ability to effectively interact and communicate with all levels of staff and management.
  • Demonstrated ability to document procedures and activities in a manner that is understandable to others and prepared using a prescribed format. Verbal and written communications are to conform to proper rules of punctuation, grammar, diction and style.
  • Proven ability to work under pressure, prioritize and manage multiple tasks; meeting deadlines is imperative. Must cite examples of developing, organizing, initiating and maintaining a project and successfully accomplishing set goals.
  • Demonstrated ability to build collaborative relationships with executive leadership and to influence others beyond direct control, both inside and outside the Company.
  • Demonstrated ability to collaborate with other attorneys and colleagues in the organization on legal and regulatory matters, cases and/or issues; proven appreciable knowledge of financial services businesses.
  • Preference given for those who have experience with Anti-Money Laundering programs and/or anti-fraud plans and reporting.

Work Setting

  • This position works in an office setting and remains continuously in a stationary position for long periods of time while working at a desk, on a computer or with other standard office equipment, or while in meetings. Requires visual acuity to read a variety of correspondence, reports and forms, and to prepare and analyze data and/or information.

Educational Requirements:

  • Juris Doctor degree from a recognized and accredited law school and above average class standing.

Certifications & licenses (i.e. Series 6 & 63, CPA, etc.):

  • License to practice law, or ability to obtain corporate counsel registration status, in Ohio.

Position Demands:

  • Extended hours required during peak workloads or special projects.

Contact:
Amy Gellen
 |  Manager, Talent Acquisition
400 Broadway  |  Cincinnati, Ohio 45202
513.629.1210 direct
513.629.1212 fax
http://westernsouthern.com/careers/


Posted November 17, 2016

Job Title: VP, Product Management

Company: Prudential

Locations: Dresher, PA; Newark , NJ; Roseland, NJ

This position reporting to the Head of Beneficiary Services, will be responsible for enhancing the organization's effectiveness in providing settlement option strategies to beneficiaries across all domestic lines of business and enabling enterprise growth by converting beneficiaries into lifetime customers. The position will contribute to broader enterprise-wide strategic initiatives that are centered on the beneficiaries' experience and driving organic growth. The role will own Alliance Account management and the governance process at the U.S. enterprise level. In addition, the role will work with the Customer Office and other key partners across the domestic lines of business to enable enterprise growth by developing and implementing new beneficiary-centric solutions to individual needs.

Responsibilities:

  • Develop, implement and monitor a robust Alliance Account governance process at the U.S. enterprise level
  • Ensure appropriate risk and compliance protocols are in place and are managed on a continuous basis
  • Develop and implement key performance indicators and a monthly reporting package to track and trend product penetration, asset retention, customer referrals, cost avoidance, etc.
  • Work with all lines of business and the Customer Office to develop new innovative solutions to drive organic growth
  • Collaborate with the Customer Office and product management across all lines of business to package an enterprise product/service offering to beneficiaries in a simplified, consumer-driven manner
  • Partner with Pru Advisors, Financial Wellness, Asset Management and LOB product management to establish and drive strong advisor/intermediary relationships focused on retaining assets and leveraging cross-selling opportunities
  • Work with key constituents to create and execute a plan to establish relationships with beneficiaries prior to policy-holder death
  • Bring the concept of "rollover" options to benefit payments
  • Leverage Beneficiary Services as another opportunity to create lifetime customers
  • Manage collaborative internal relationships with all U.S. businesses and the Customer Office as well as Technology, Finance, Risk, Compliance and Law

Qualifications:

  • 10+ years of marketing, product and/or financial services experience.
  • Strong asset management and financial acumen
  • Demonstrated ability to innovate, lead and drive change while leveraging process improvement methodologies and/or technology enhancements.
  • Innovative problem solving and strategic thinking skills, along with strong business and operational acumen and analytical capabilities.
  • Ability to take intelligent risks by generating new and valuable ideas and business solutions using creativity
  • Strong leadership with the ability to articulate vision and purpose, while demonstrating solid executive presence and a talent mindset.
  • Strong communication skills including the ability to interface, influence and collaborate with senior leaders across the enterprise
  • Ability to influence peers and senior management and able to work across businesses to gain buy-in and build partnerships to achieve objectives
  • Extensive experience communicating in challenging circumstances (written, verbal and presentation)
  • Strong presentation skills working with internal and external constituents
  • Ability to react quickly to changing business needs and adapt to dynamic business environments
  • Ability to identify and capitalize on opportunities generated through centralization
  • Embodies an enterprise focus and has the ability to understand and support the centralized strategy for the US Businesses

Click here to apply


Posted November 17, 2016

Job Title: VP, Performance Planning and Analysis

Company: Prudential

Locations: Dresher, PA; Newark, NJ; Scranton, PA; Jacksonville, FL; Hartford, CT

This position reporting to the Head of Beneficiary Services, will be responsible for enhancing the organization's effectiveness by providing strategic planning as it relates to the business' performance within the newly established Beneficiary Services capability on behalf of the U.S. businesses. This role will drive optimizing business performance and creating a culture of continuous improvement and process excellence while ensuring alignment with broader strategic initiatives that are centered on the beneficiaries' experiences with Prudential.

Responsibilities:

  • Responsible for development, planning and execution of improved cost and scale efficiencies by providing business intelligence, data analytics and trending analysis that will allow for a cost effective transformation to an enhanced and scalable beneficiary experience
  • Instill a relentless and rigorous focus on beneficiaries
  • Manage knowledge and workflow streams, while implementing process excellence to promote associate engagement and enable sustained performance over time
  • Develop and implement clear metrics and scorecards to improve service, cost and quality while driving scale. Also, develop key financial metrics such as RPC, CPC, etc.
  • Responsible for developing and monitoring all activities pertaining to budgeting, forecasting, planning, reporting, compliance, risk and law
  • Drive a talent mindset and facilitate leadership development, identifying and providing guidance around specific technical or leadership growth opportunities. Collaborate with internal resources to provide appropriate assessment and subsequent training to address skill gaps.
  • Drive climate and associate engagement through planned communication programs, regular updates on business results and awareness and adoption of process improvements and utilization of leadership connection philosophy.
  • Plan and collaborate with peers to conduct monthly all-associate meetings and leadership off-sites to ensure continued understanding and engagement relative to business priorities including strategies, initiatives and key performance indicators
  • Manage internal relationships with all U.S. businesses as well as Finance, Risk, Compliance, Audit, HR, Centralized Business Services, the Customer Office and Leveraging Opportunities groups
  • Adept at random work sampling, capacity management and business process mapping.
  • Provide market and business intelligence, data analytics and trending
  • Drive climate and associate engagement
  • Develop value proposition, identify needs and align innovative solutions

Qualifications:

  • 10+ years of functional, process, analytics and leadership experience in a client service management, operations or finance organization, with significant experience in a leadership position. Organizational planning and/or effectiveness knowledge is preferred
  • Demonstrated ability to innovate, lead and drive change and leverage process improvement methodologies and/or technology enhancements, while also maintaining the ability to sustain improved performance levels
  • Innovative problem solving and strategic thinking skills, along with strong business and operational acumen and analytical capabilities. Proven skills in process excellence, continuous improvement and project management
  • Ability to take intelligent risks by generating new and valuable ideas and business solutions using creativity
  • Strong leadership and management experience with solid executive presence and talent mindset.
  • Adept at articulating a vision, providing associates with a sense of purpose and driving a strong organizational climate
  • Strong communication skills including the ability to interface, influence and collaborate with senior leaders across the enterprise
  • Ability to influence peers and senior management; able to work across businesses to gain buy-in and build partnerships to achieve objectives
  • Extensive experience communicating in challenging circumstances (written, verbal and presentation)
  • Adept at creating and presenting compelling business cases and presentations
  • Ability to react quickly to changing business needs and adapt to dynamic business environments
  • Ability to identify and capitalize on opportunities generated through centralization
  • Embodies an enterprise focus and has the ability to understand and support the centralized strategy for the U.S. Businesses

Click here to apply


Posted November 17, 2016

Job Title: VP, Operational Effectiveness

Company: Prudential

Location: Dresher, PA

This position reporting to the Head of Beneficiary Services will be responsible for creating an exceptional beneficiary experience and managing the operational effectiveness of the newly established Beneficiary Services capability on behalf of the U.S. businesses. This role will have responsibility for providing strategic leadership and operational direction to the combined organization(s) and will focus on the Customer Experience, Transaction Processing, the Contact Center, Technology, operational effectiveness, vendor management and records/privacy management.

Responsibilities:

  • Lead and manage the transition of five U.S. businesses teams to one centralized Beneficiary Services operational platform, including Transaction Processing, Contact Center, Vendor Management and Privacy/Records Management and Technology. The organization will provide service to both institutional and individual customers and beneficiaries.
  • Transform an operations culture into a customer experience mindset to enable an exceptional customer experience while creating a high performing team
  • Create a well-controlled business system, establishing metrics to define success, gauge progress and drive business decisions. Develop strategies to identify and implement best practices
  • Ensure consistent achievement of key performance indicators such as: Service, Cost and Quality; Production and Cycle Times; Straight-through Processing and Not In Good Order (NIGO) metrics; Risk and Error Mitigation
  • Monitor and manage daily and peak volumes, developing strategies to effectively flex resources to achieve intended results
  • Manage external relationships with on-shore and off-shore vendors and internal relationships with leaders of other operational and control functions including collaborating with the Customer Office
  • Integrate and enhance individual and institutional engagement models to increase organizational effectiveness, deliver flawless execution and ensure an exceptional customer experience

Qualifications:

  • 10-15 years of functional and strategic leadership experience in a large customer service oriented operations organization with multi-site responsibility.
  • Demonstrated ability to lead and drive operational change and leverage technology enhancements, while improving overall performance levels
  • Strong leadership and management experience with solid executive presence and talent mindset.
  • Adept at articulating a vision, providing associates with a sense of purpose and driving a strong organizational climate
  • Strong communication skills including the ability to interface, influence and collaborate with senior leaders across the enterprise
  • Highly effective presentation skills. Comfortable interacting directly with key institutional customers and participating in new business finals presentations
  • Must have a continuous improvement mindset with a demonstrated track record of sustained improvement in service, cost and quality
  • Innovative problem solving and strategic thinking skills, along with strong business and operational acumen and analytical capabilities
  • Ability to take intelligent risks by generating new and valuable ideas and business solutions using creativity
  • Ability to influence peers and senior management; able to work across businesses to gain buy-in and build partnerships to achieve objectives
  • Extensive experience communicating in challenging circumstances (written, verbal and presentation)
  • Ability to react quickly to changing business needs and adapt to dynamic business environments
  • Ability to identify and capitalize on opportunities generated through centralization
  • Embodies an enterprise focus and has the ability to understand and support the centralized strategy for the US Businesses
  • Must be FINRA Registered and hold a Series 6, 26 and 63 within 180 days of hire

Click here to apply


Posted October 28, 2016

Job Title: Account Representative – Claims

Company: Munich Re, US Life

Location: Atlanta, GA

Munich Re Group is a great place to work! As one of the world's largest reinsurance companies, and the industry leader in delivering world-class service and solutions to many of the most recognized insurance companies around the globe, we offer a unique opportunity to be part of a global success story that continues to evolve. We offer a truly diverse work environment, which champions innovation and creativity, energy and passion, and rewards top performers with a highly competitive total rewards package.

Munich Re, US (Life) is currently seeking an Account Representative for our Claims division to work directly with clients on Individual Life complex claims.

Responsibilities:

  • Adjudicate complex, contestable claims
  • Independently conduct Underwriting, Legal and Administrative reviews and make decision recommendations to the Claims Review Committee
  • Manage litigated cases
  • Adjudicate compromise settlements
  • Review high dollar, early duration claims
  • Manage client relationships
  • Conduct claim trend analysis
  • Produce analytical business reports such as client benchmark reports, mortality study reports, etc.
  • Manage External Audit Process and lead onsite audits
  • Identify training opportunities, create training presentations and programs for employees and clients
  • Give industry presentations as required
  • Lead projects as necessary
  • Coordinate with others to create claims tools as appropriate

Qualifications:

  • 8-10 years life or living benefit claims experience required
  • 8+ years direct life and/or living benefit claims experience required
  • Bachelor's degree preferred
  • Associate, Life & Health Claims (ALHC), Associate Reinsurance Administration (ARA), FLMI or HIAA designations preferred
  • Proven ability to effectively present to various audiences
  • Training facilitation experience strongly preferred
  • Audit experience in some capacity required
  • In-depth knowledge of direct insurance company claims operations
  • Proven ability to apply knowledge and creativity to improve processes and procedures or to resolve problems
  • Microsoft Excel and PowerPoint experience required

To apply visit: www.munichre.com/us/life/careers/job-vacancies/index.html