Claims Optimization Specialist
4 weeks ago
Position Overview
CNA Hardy seeks a skilled Claims Optimization Specialist to support the Claims Operations team in shaping and applying the company's claims strategy. This role will drive improved performance and continuous improvement, measured via key performance indicators (KPIs), while instilling discipline and integrity through adherence to core principles and procedures.
Key Responsibilities
- Drive efficiency using data reporting and process improvement
- Develop KPIs to monitor and improve team performance
- Analyze data to provide trends and identify emerging patterns/exceptions and benchmark against market
- Work with Claims Operations Director to create, implement, and continually improve a control framework and reporting oversight that aligns to consistent monitoring of the controls for the claims department
- Contribute to the design and maintenance of claims manual and key governance controls, including SOX
- Work with Claims Directors to ensure continuous improvement of data completeness and accuracy, ensuring that the data and management information aligns to requirements for portfolio management, improved insights, and operational performance oversight
- Scope out and contribute towards business requirements and implementation of new claims workflow system
- Be the advocate for continuous improvement, influencing stakeholders within and outside of Claims
- Analyze performance of outsourced arrangements, including TPAs, experts, and DXC
- Meet all reporting/governance requirements, including Lloyd's Minimum Standards, Conduct Risk, and Solvency II
- Keep abreast of new products/initiatives and provide recommendations, as well as driving the implementation and onboarding
- Drive the implementation and execution of new and improved processes
- Develop resource and triage modeling enabling Claims Leadership team to identify resource requirements
- Liaise with and build relationships with stakeholders outside Claims to enable problem-solving
- May perform additional duties as assigned
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