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Reinsurance Examiner

100% Remote Full-time Open now

About the position Support management of timely and appropriate distribution of narrative reports to reinsurance and excess carriers for PIPS, PLCA and Excess programs. Provide feedback to managers and supervisors on large loss reports with inconsistencies, inaccuracies or missing information. Work with managers and supervisors on responding to reinsurers' individual claim questions and inquiries. Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability.

Responsibilities

  • Support management of monthly PIPS & PLCA Reinsurance Reporting to ensure 90% timely reporting.
  • Respond to WC & PLCA reinsurance and excess inquiries and work with the claims team for claim details.
  • Support management of PIPS Reporting analytics to include distribution of reinsurance reports to carriers.
  • Review and approval of Large Loss Reports and work with the Management Team on updates.
  • Analyze monthly Large Loss Reports to ensure consistency and accuracy of reserving practices within all branches and prepare monthly updates to the management team.
  • Ensure internal quality control requirements are met through timely distribution of PIPS reports and send to various reinsurers.
  • Provide ad hoc reinsurance reports for internal and external reports.
  • Provide ad hoc excess reports on as requested basis for carriers, JPA's, auditors and clients.
  • Support coordination of external reinsurance audits.
  • Provide support for SAWCX II excess reporting and outside TPAs upon request.
  • Oversight of reporting coding in iVOS, notes and diaries on behalf of managers and supervisors.
  • Support management of all external carrier 24/7 system access and Terms of Use Agreements.
  • Develop, audit and deliver feedback to the WC claims team statewide on target audits as needed.
  • Develop and deliver claims success stories.
  • Special projects.
  • Other duties as assigned.

Requirements

  • Bachelor degree is preferred.
  • WCCP Designation preferred.
  • Self-Insurance Certificate or ability to pass Self-Insurance Exam within one (1) year of hire.
  • Must have California Experienced Adjuster and Post-Designation Certifications.
  • Minimum of three (3) years' claims handling experience required.
  • Ability to work independently and work in a team environment.
  • Ability to prioritize and meet deadlines on multiple projects.
  • Strong interpersonal skills.
  • Excellent communication skills both written and oral.

Benefits

  • Competitive base salary.
  • Generous 30+ Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days.
  • Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options.
  • Company match 401(k) plan - 50% up to 6%!
  • Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers.
  • Opportunity to prioritize your mental health with 24/7 access to licensed therapists.
  • Pet benefits & discounts.
  • Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout our company.

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