Senior Claims Analyst - Marine

 Essential

• Demonstrated experience of Claims management ,  with claims emanating from standard Marine lines of business; experience in other lines of business is a plus

• Competency with claim handling systems and processes

• Strong understanding of claims governance, controls, and quality standards

• Exercises sound judgement in making decisions, especially in complex or ambiguous situations. 

• Demonstrates the confidence to be inquisitive and ask questions when needed to gain clarity and improve decisions.

• Ability to assess complex information, identify key insights while considering the broader context and effectively communicate holistic views.

• Strong communication and stakeholder‑management skills

Desirable 

• Excellent written and verbal communication skills, with the ability to present complex information clearly and concisely.

• Data‑driven mindset with experience using MI to manage performance and risk

Behavioural Competencies 

• Proven ability to act as part of a team yet dependable enough to operate independently when required 

• Flexibility and adaptability required in order to manage volume. 

• Excellent time management skills and ability to multi-task and set priorities

Required Education 

• University/College Degree preferred

Industry certification/designation a plus

Claims Assessment & Decision‑Making

• Perform an FNOL (First Notice of Loss) review on incoming claims on assigned accounts/Lines of Business as part of a continual triage of the loss.

• To assign the claim post-triage:

  • to refer higher-complexity losses to a more senior Claims Expert for assessment/adjustment;

  • to retain low-to-mid complexity loss for adjustment and ongoing management, or

  • to delegate claims that are low complexity and straightforward in nature that are suitable for "processing" to the Technical Accounting (TA&A) team.

• Review contracts/policies and backup documentation to confirm coverage under the policy.

• Assess and determine low-to-mid complexity, risk, and/or value claims in line with policy terms, procedures, and authority limits, applying sound technical judgement to reach fair, proportionate, and defensible outcomes.

• Identify claims that are complex, unusual, or high‑risk, recognizing and referring all claims which require further review by others within the claim department, continually triaging to refer when required.

• Handling, closing and/or following up on all claims assigned, both manually and electronically.

• Transacting on assigned claims within their authority including setting reserves and authorizing payments within authority.

• Produce clear, accurate case notes explaining decisions and rationale ensuring all claim files are complete, well-structured and audit-readyCollaborating and assisting in the account management of assigned accounts/lines of business, often with other internal department representatives

• Act as an escalation point for more complex cases from other analysts or team leaders

• Anticipating client needs and expectations and delivering superior customer service

• Working effectively with others within the claim department, particularly with other claim experts and analysts, to ensure prompt turnaround and response to clients, brokers and outside vendors

• Ability to effectively communicate claim issues with internal or external stakeholders including underwriters, brokers and clients and represent SCOR's interests

• Provide technical advice and direction to developing Claims Analysts

  2. Quality & Governance

• Demonstrate consistently strong Quality Assurance (QA) outcomes, acting as a quality benchmark within the function

• Support quality assurance activity by reviewing themes, root causes, and improvement actions

• Support oversight by QA Lead of claims management and performance of TA&A teams

• Ensure claims files meet governance, documentation, and audit standards

• Perform more sophisticated data analysis to evaluate portfolios.

• Participating in Audit Committees as required (Treaty Only)

• Contribute to updates of guidance, procedures, and decision frameworks

  3. Performance & Delivery

• Manage workload effectively to meet service level agreements (SLAs) without compromising quality

• Balance productivity with technical accuracy and risk management

• Support team delivery during peaks or more complex caseloads

  4. Continuous Improvement & Change

• Identify opportunities to improve claims processes (including CA Team framework), controls, or guidance

• Lead, Participate or Support change initiatives, system enhancements, and transformation activity

• Share insights from more complex cases to improve overall claims capability

Essential

• Demonstrated experience of Claims management, with claims emanating from standard Marine lines of business; experience in other lines of business is a plus

• Competency with claim handling systems and processes

• Strong understanding of claims governance, controls, and quality standards

• Exercises sound judgement in making decisions, especially in complex or ambiguous situations.

• Demonstrates the confidence to be inquisitive and ask questions when needed to gain clarity and improve decisions.

• Ability to assess complex information, identify key insights while considering the broader context and effectively communicate holistic views.

• Strong communication and stakeholder‑management skills

Desirable

• Excellent written and verbal communication skills, with the ability to present complex information clearly and concisely.

• Data‑driven mindset with experience using MI to manage performance and risk

Behavioural Competencies

• Proven ability to act as part of a team yet dependable enough to operate independently when required

• Flexibility and adaptability required in order to manage volume.

• Excellent time management skills and ability to multi-task and set priorities

Required Education

• University/College Degree preferred

Industry certification/designation a plus