Claims Governance Specialist
Vor 3 Tagen
About the Role:
As a Claims Governance Specialist at Great Lakes Insurance SE, you will play a critical role in ensuring the company's claims management processes are in compliance with all relevant regulatory requirements. This includes implementing and ensuring adherence to rules and regulations of governmental regulatory bodies in Europe, such as BaFin and IVASS.
Key Responsibilities:
- Implement and ensure compliance with all rules and regulations of relevant governmental regulatory bodies in Europe.
- Ensure the adequate implementation, adherence, and execution of GL Third Party Risk Management processes within the claims area of responsibility.
- Coordinate due diligence and audits in collaboration with Agency Claims team and other GL units, according to GL standards, while identifying any potential compliance risks.
- Prepare outsourcing plans and risk assessment reports and follow up on the findings closure.
- Negotiate, maintain, and monitor Service Level Agreements with internal and external outsourcing counterparts for claims services regarding claims service units' compliance and performance.
- Develop and maintain a comprehensive knowledge of industry-specific compliance requirements.
- Develop and enhance Claims IT tools to support MGA/TPAs and agency claims management in collaboration with Agency Claims team.
- Negotiate TPA Agreements and give claims input to Binding Authority Agreements while keeping them up to date as required.
- Develop work instructions and Agency claims management guidelines to ensure state-of-the-art claims management and O&C in compliance with Claims Corporate Guidelines.
- Build an intelligent monitoring system to mitigate conduct and reputational risk, and to ensure appropriate financial outcomes, for both Agency as well as single risks business.
- Participate in special projects and ad hoc reporting, as required.
About You:
We are looking for a highly skilled and experienced Claims Governance Specialist who has:
- Claims compliance expertise in primary insurance preferably within the EU context as well as across several lines of business (Non-Life and Health).
- Legal education or other appropriate university degree or qualifications such as the ACII.
- EU (in particular Germany, Italy, and France) Market experience as well as knowledge of legal and regulatory systems. US market and Australian market knowledge is a plus.
- Excellent organizational, attention to details, and time management skills.
- Effective communication and collaboration capabilities.
- Good internal and external network with lawyers and other service providers.
- Business-fluent English; additional European languages in particular German and French are an advantage.
About Us:
Great Lakes Insurance SE is the world's leading reinsurance company with over 11,000 employees at more than 50 locations. We introduce a paradigm shift in the way you think about insurance by turning uncertainty into a manageable risk. We enable fundamental change by working on topics today that will concern society tomorrow, whether that be climate change, major construction projects, medical risk assessment, or even space travel.
We create the new and the different for our clients and cultivate innovation. Our employees are our greatest strength, and we offer them a wide range of benefits, including diversity, equity, and inclusion, continuous learning, career mobility, competitive salary, retirement provision, work-life balance, health management, and hybrid working.
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