• Responsible for handling a claim block of Absence and Paid Leave claims. • Accountable for ensuring optimal claims handling and timely, accurate decisions. • Effectively and accurately manage a block of Absence, and Paid Family Leave claims • Focus on customer experience to deliver the best experience for our customers • Demonstrated ability to deliver accurate, dependable, and trustworthy service to our customers. • A strong customer focus evidenced through maintaining customer relationships. • Strong analytical reasoning • Strong communication skills both written and verbal • Ability to work independently in a fast-paced, metrics driven environment.

• Proactively handle allocated claims to a high standard, including overall assessment of losses and reserves, and negotiation with counterparties to achieve timely settlements • Manage mid to large complex and disputed claims • Identify and report new trends or changes in the behavior of claims portfolio • Act as main contact and account manager of all assumed claims made by assigned cedent • Review and conduct analysis of reinsurance contracts. Evaluate coverage and all issues presented in claim cession, prepare claim inquiries, position letters and settlement agreements with minimal oversight • Conduct on-site and/or virtual claim audits of ceding companies • Identify and deliver opportunities for claims savings • Provide technical assistance in the due diligence process for new acquisitions, including the assessment of claims-related risks and opportunities • Understand new accounts upon acquisition, deliver against opportunities identified in due diligence • Manage arbitration/litigation and testify on behalf of the company as a witness in arbitration/litigation activity when required • Provide training and technical support to less experienced team members • Master the review and analysis of complex treaty programs and facultative certificates, complex coverage and contract issues and an understanding of underlying claims

• Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages. • Attempt to effect settlement with claimants. • Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. • Calculate benefit payments and approve payment of claims within a certain monetary limit. • Investigate claims: Assess and estimate vehicle damage. • Assist with business or managerial research. Compile information through interviews. • Evaluate customer records. Examine evidence to determine if it will support claims. • Follow contract, property, or insurance laws. • Follow rules of evidence procedures in legal setting. Gather physical evidence. • Inspect property to determine damages. Research property records. Search legal records. • Maintain all cases on an active diary on the SIMS and/or Renaissance system. • Prepare timely reports to clients. Comply with all reporting requirements/steps set out in the GHC Procedure Manual. Comply with regulatory requirements. • Collect evidence to support contested claims in court. Keep clients advised.

• Conduct an initial investigation of the claim. • Verify and enter data into the claims systems. • Research and gather evidence. • Obtain, review, and evaluate records, police, medical, etc. • Correspond with or interview medical specialists, agents, witnesses, or claimants for accuracy and consistency with the claim as reported. • Investigate, analyze, and determine the extent of the insurance provider's liability concerning personal, casualty, or property loss or damages, and attempt to settle with claimants. • Comply with accepted guidelines regarding reserving practice and authority levels while properly setting the reserve and adjusting as appropriate. • Examine, process, calculate, and pay claims ensuring filings, documentation, and reports, etc. • Prepare timely reports for clients.