InsuranceHires

Overview

The Manager, Underwriting and Claims has a dual focus on underwriting and overall claims management activities. They are experienced in the underwriting of complex cases from both a medical, non-medical and financial point of view, have strong technical expertise in claims and a drive for building out a best-in-class claims department with a balanced focus on growth and quality. They will coach and advise the team on their deliverables.

KEY RESPONSIBILITIES

Oversee the underwriting process for new business for Life, Disability, and Critical Illness insurance applications, including:

o   Data entry of applications

o   Follow-up on pending new business applications with outstanding requirements

o   Release Facultative Underwriting decisions

o   Correspondence regarding decisions, ratings, and amendments

o   Process policy amendment notices

• Provide technical guidance and underwriting risk perspective on product development, medical underwriting, and new business initiatives
• Manage Medical Information Bureau (MIB) reporting requirements and annual underwriting audits
• Oversee all claims activity across internal and external partnerships; provide final claim decisions; ensure timely and accurate processing according to procedures; authorize claim processing requisitions to the Finance team
• Manage the reinsurance process including monthly and quarterly transmissions of cession updates to reinsurance partners; and support the review of reinsurance treaties and new engagements
• Lead and coach the Underwriting and Claims team in their service delivery and development; provide second-level review and approval of work, as needed
• Liaise with the Finance team and provide key audit documents to support the annual fiscal audit
• Identify areas for continuous improvement, and implement them using problem solving activities
• Maintain policies, procedural manuals, training guides and other documents
• Support the Senior Leadership Team by providing input on planning and priorities
• Promote a growth culture while managing quality, service, and expenses

QUALIFICATIONS & EXPERIENCE

• Bachelor’s Degree or post-graduate diploma in business management, finance, or related discipline
  Minimum of 6-10 years of Life and Disability or Critical Illness Underwriting experience;
• Completion or pursuit of underwriting education or a professional underwriting background (FLMI, FALU, CLU), preferred
• Strong user of all Microsoft Office programs (Excel, Word, PowerPoint)
• Able to interpret, assimilate and apply numerous guidelines, reports, and data to set and manage priorities
• System-savvy with experience using multiple insurance tools and platforms, including individual policy administration systems
• Bilingual (English and French) is an asset

SKILLS & CORE COMPETENCIES

• Excellent interpersonal skills and strong cross-functional team skills
• Results focused, proactive, and service oriented
• Superior analytical, evaluation and decision-making skills
• Strong written and verbal communication skills
• Ability to prioritize and balance multiple tasks or projects with ease
• Adaptable and flexible when dealing with change
• Superior numerical and analytical skills
• A thoughtful approach to decision making with an ability to apply judgement to unique situations
• Strong alignment with our organizational mission, vision, and core values