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CDI - SGL - Global Claims Manager

Date: Nov 17, 2021

Location: Paris, FR

Company: SCOR

     EMEA     

Paris France (FR) 

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CDI - SGL - Global Claims Manager 

Permanent 

Underwriting 

 

 

          About SCOR         

SCOR, the 4th largest reinsurer in the world, provides insurance companies with a diversified and innovative range of solutions and services to control and manage risk. Using its experience and expertise, “The Art & Science of Risk”, SCOR provides cutting-edge financial solutions, analytics tools and services in all areas related to risk – in Life & Health insurance as well as in P&C insurance. Our specialist teams operate in over 120 countries, developing value added and innovative products and services and making long-term commitments to their clients, namely insurers and large corporations.
SCOR's aim, as an independent global reinsurance company, is to develop its Life and P&C business lines, to provide its clients with a broad range of innovative reinsurance solutions and to pursue an underwriting policy founded on profitability, supported by effective risk management and a prudent investment policy, in order to offer its clients an optimum level of security, to create value for its shareholders, and to contribute to the welfare and resilience of Society by helping to protect insureds against the risks they face.

 

- Department

Global UW & Claims

 

- Job Summary

In this position, you will provide expertise and support in the assessment and management of individual life claims from a medical, non-medical (financial, special risks etc) legal, contractual, and administrative perspective for all SGL's Business units. You will participate to ensure a correct approach, oversight, and guidance for all of SCOR’s Claims managements practices. You will manage the different internal tools confirming a correct workflow process among the markets and will play a proactive approach in the future linked to the Claims evolution (Digitization and other innovation initiatives).

 

- Key duties and responsibilities

  • Provide expertise and support in the assessment and management of individual claims from a medical, non-medical (financial, special risks etc) legal, contractual, and administrative perspective for all SGL's Business units.
  • Assess and analyse the claims files communicated to Global UW and Claims Department, which are out of the local delegation because of their amount (what we refer to as Peer reviews) or due to their degree of complexity. In this case, those files might need additional support from our Medical Doctors and if necessary, seek internal or external legal expertise.
  • Define and enforce a well-coordinated claims management policy within SGL taking into consideration the specificities of each market in respect to legislation, benefits reinsured, local regulatory or social security and case law mechanisms.
  • Ensure the coordination and support of the implementation of Claims workflow processes, tools and methods to ensure compliance with SCOR`s overall risk management and control frameworks.
  • Lead and participate in internal Cross Reviews (audits) for the different markets consisting of:
  • Technical case review
  • Operational review
  • Description of the recommendations
  • Implementation and follow up of findings
  • Participate in projects or initiatives in collaboration with the actuarial and knowledge teams to improve SGL's Claims statistical data base tools.

 

  • Reporting and governance:
  • Validate quarterly US large Claims analysis for input into Senior management reporting
  • Ensure ICS (Internal Control System) process is maintained and validated Globally
  • Input and validate pandemic Claims analysis where requested by Senior Management
  • Provide requested reporting analysis on an ad hoc basis (e.g. Group Internal Audit controls, external auditor requests)

 

  • Design and participate in the facilitation of seminars or training sessions on claims management with SGL cedants.

 

  • Embrace innovation such as digitalisation of Claims processes, Client E-learning tools, Client Webinars, ensuring exchange of best practices between markets.

 

  • Participation and presentations in industry events taking a representative and advisory role in specialized professional institutions such as ELHUA.

 

- Required experience & competencies

  • At least 10 years insurance or/and reinsurance experience in claims management with preferably exposure to multiple markets and for all mortality and morbidity benefits: Life Cover, TPD, disability, Trauma cover, Critical Illness, Terminal Illness, Long Term Care or Medex.
  • Knowledge of medical and financial UW is a plus as well as a knowledge of reinsurance operations.
  • Knowledge and expertise of IT tools such as Teams, PP, Microsoft office tools including data analytic tools.

 

- Key competencies

  • Ability to organize and to prioritize under pressure.
  • Ability to evaluate, condense and summarize key information.
  • Excellent communication and presentation skills.
  • Self -disciplined with capacity for decision making.
  • Active engagement and contribution with the macro-market teams.
  • Have a good team spirit, be willing to work very well with other people.
  • Be autonomous, proactive, have curiosity and be flexible.
  • Innovative mindset.
  • Possibility to travel for internal meetings in other countries.
  • Be a strong contributor to collaboration.
  • Strong negotiation skills.

 

- Required Education

Bachelor’s degree or equivalent insurance qualifications.