Director – MGA & Program Claims

This is a fully remote position, open to applicants in United States.

📋 Description

• Supervise claim handling entities related to Programs/MGAs to guarantee that authority limits are not exceeded, claims reporting is accurate and timely, coverage is suitable, consumer and customer service adheres to compliance, a quality auditing program is maintained and current, and general oversight of reserving and loss exposures is provided.

• Collaborate with Program Managers to onboard, develop and implement procedures, as well as oversee the daily technical and operational elements of US P&C Program/MGA business within the designated workload.

• Ensure adherence to claims handling protocols for U.S. claim handling entities.

• Assess reserves on particular claims and monitor the sufficiency of reserves at both portfolio and individual claim levels.

• Create and uphold relevant claims reports, including but not limited to trend analysis, claim lifecycle enhancements, and measures for indemnity containment.

• Analyze contract coverage upon referral from the Program/MGA to ascertain liability and the extent of participation in claims.

• Provide instructions and ongoing management of independent experts as necessary.

• Ensure that all claims activities are conducted in accordance with Company policies and procedures and within the designated Claims Authority.

• Ensure strict compliance with claims escalation authorities and that claims are accurately and efficiently triaged/reported to the appropriate personnel.

• Foster cooperation and regular communication, including established routine interactions with other functions within SiriusPoint, such as Senior Management, Compliance, Underwriters, and the Actuarial team.

• Build, develop, and maintain relationships with brokers, ceding companies, lawyers, and loss adjusters regarding claims issues.

• Monitor risks arising from claims programs against the agreed SiriusPoint risk appetite/tolerances; promptly escalate risk events/control failures and take necessary actions to report and assist claims leadership in addressing these matters.

• If interested and qualified, there may be a chance to handle or consult on MGA/Program claims outside of the U.S. as part of a global Claims Team at SiriusPoint.

• Willingness to travel for MGA and Programs Claims audits, Claims Team meetings, or other industry events as needed.

• Perform any additional duties as reasonably required.

⛳️ Requirements

• Extensive claims adjusting or leadership experience (at least 10-15 years) within Casualty, Property, and specialty lines (Professional Lines) is preferred.

• Commitment to ongoing training and knowledge enhancement through participation in market seminars, completing training courses, and being actively involved in relevant professional networks.

• Ability to make sound decisions within the parameters of accepted claims turnaround practices.

• Capability to analyze claims data and utilize it to inform strategic decisions at both the individual claim and portfolio levels.

• Exceptional written and verbal communication skills.

• Ability to represent the company (and its clients) effectively and professionally in the market.

• Skill to meet tight deadlines.

• Team-oriented individual, capable of mentoring and assisting in the development of employees.

• B.A./B.S. or an equivalent University degree. Additional insurance-related certifications and credentials are preferred but not mandatory.

• Strong IT proficiency, particularly with the Microsoft Office suite of products.

🏝️ Benefits

• Medical

• Dental

• Vision

• FSA Medical and Dependent care

• Health Savings Account (HSA)

• EAP

• Basic Life and AD&D (company paid)

• Basic Long-Term Disability (employer) paid-Taxable income

• Employee paid Long Term Disability (voluntary)

• Company Medical Leave, Parental leave- 8 weeks full pay after 6 months of service

• Voluntary benefits: short term disability, Critical illness, Hospital Indemnity, Accident

• Travel assistance programs Company paid

• 401(k) 6 % safe harbor match, fully vested after two years, pre- and post-tax contributions allowed

• Gym reimbursement

• Legal plan

• Pet Insurance

• Tuition reimbursement

• Generous PTO

• Flexible work arrangement

• Fully stocked pantry on-site

• Team outings

• ERG Groups