The client is seeking a senior leader to serve as Head of Claims, responsible for designing, building, and continuously enhancing the claims function within a growing specialty insurance organization. This role will oversee claims strategy, governance, operational performance, relationships with delegated claims partners and third-party administrators, and claims technology initiatives. The position requires a balance of technical claims expertise, operational leadership, and strategic vision to support efficient claims management, partner oversight, regulatory compliance, and high-quality service delivery in a fast-paced environment.
Key responsibilities include developing and executing overall claims strategy, establishing and monitoring performance metrics and KPIs, and driving continuous improvement to enhance efficiency, scalability, and partner and customer experience. The role will oversee reserving practices, litigation management, complex claims, and large-loss events, while implementing systems to identify emerging claims trends, risks, and performance issues. It will also lead claims transformation initiatives such as automation and workflow optimization, standardize claims processes and governance practices, and coordinate with technology and data teams to improve claims systems, analytics, and reporting capabilities.
The Head of Claims will manage outsourced claims arrangements by selecting, onboarding, and overseeing third-party claims partners, including audits, due diligence, performance reviews, and issue resolution. This includes maintaining a comprehensive claims governance framework, defining reporting requirements to enhance claims data quality and transparency, and overseeing claims authority structures, referral protocols, and reinsurance recovery processes. The role supports executive-level reporting on claims performance and trends, ensures compliance with applicable regulatory and governance requirements, and maintains strong controls around documentation and claims handling standards, with a focus on fair customer outcomes and operational resilience.