Reinsurance Claims Analyst
- Salary
- $75K–$80K
- Hiring from
- United States
- Work type
- Hybrid
- Posted
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The Reinsurance Claims Analyst will protect Accredited’s ceded reinsurance recovery rights by connecting underlying claims information to applicable reinsurance contracts, reporting and notification obligations, and the documentation Finance needs to calculate, invoice and collect recoveries. Provide specialized reinsurance claims expertise in collaboration with Claims, Underwriting, Finance, Actuarial, brokers, reinsurers and other stakeholders. The role does not adjust underlying claims, establish case reserves or own reinsurance receivables.
Key Responsibilities
- Identify potentially ceded claims and events by reviewing treaty triggers, attachment points, limits, exclusions, occurrence definitions, hours clauses, reinstatements, inuring cover and notice requirements.
- Review underlying claims and TPA information for completeness; identify gaps and coordinate resolution of claims coding, event identification, aggregation and supporting-data discrepancies with Claims, Actuarial and Finance.
- Assess potential contractual recovery eligibility and promptly escalate disputed coverage, material treaty interpretation and recoverability issues to the appropriate stakeholder, Reinsurance Officers, or Chief Reinsurance Officer.
- Coordinate reinsurance claims notices, treaty reporting, reinsurer audits and information requests, ensuring timely submissions, appropriate documentation, follow-up and compliance with contractual requirements in collaborations with Claims, TPAs, Legal, Finance, Underwriting, brokers and reinsurers.
- Identify and escalate late-notice risks, event coding or aggregation concerns, missing documentation and other claims-to-treaty exceptions.
- Prepare complete claims and contractual documentation handoffs to Finance for proportional and non-proportional, billing, cash calls and collections, without assuming Finance-owned responsibilities.
- Investigate claims-related discrepancies and broker or reinsurer inquiries with Finance, Claims, Underwriting, and Actuarial; track outstanding exceptions and material recovery risks through resolution.
- Maintain auditable claims-to-treaty records, notification evidence, reporting documentation and correspondence, supporting accurate data and effective controls.
- Support Palantir and other automation initiatives by defining ceded claims business requirements, testing notice flags, treaty mapping, reporting thresholds and event identification, and validating exception outputs.
- Work with the Reinsurance Operations Manager to prioritize claims-related matters across new placements, renewals, active programs and runoff, coordinating timely follow-through with internal and external partners.
- Develop technical expertise in proportional and non-proportional and contribute to process improvement, cross-training and more effective automated claims workflows.
- Monitor live events in coordination with CAT Modeling and brokers.
Skills & Experience
Skills
- Working knowledge of proportional and excess-of-loss treaty claims provisions, catastrophe and occurrence aggregation, notice requirements and recovery documentation; ability to interpret contracts and identify potential recoveries.
- Strong Excel proficiency and experience with claims and reinsurance data; analytical, organizational and problem-solving skills and effective collaboration across Claims, Finance, Actuarial, TPAs, brokers and reinsurers.
- Familiarity with SQL, Power BI, Python or automated claims workflows desirable; understanding of claims and reinsurance data controls, documentation standards and operational reporting preferred.
Experience & Education
- Approximately 4–8 years of relevant experience in reinsurance claims, ceded recoverables, claims broking, excess-of-loss claims support or closely related specialty insurance claims roles.
- Bachelor’s degree or equivalent relevant industry experience.
