Reinsurance Audit Manager

Job Description Summary

We are seeking an experienced and dynamic Manager to lead our Reinsurance Audit team. In this role, you will create audit plans, oversee the execution of audits, ensure the accuracy and integrity of audit reports, and drive continuous improvement of the audit processes related to our Long Term Care and other lines of reinsurance business. You will establish metrics and monitor results, leveraging audit data to identify risks and develop plans of action to mitigate exposure to risk. In addition, you will play a key role in supporting claim accuracy and fraud mitigation initiatives. Your leadership will be crucial in nurturing productive relationships with our partners and fostering a culture of excellence, collaboration, and innovation within the team.

Job Description

Roles and Responsibilities

• Lead and manage the Reinsurance Audit team, providing guidance, mentorship, and performance feedback
• Develop and implement audit plans, ensuring alignment with organizational goals and regulatory requirements
• Oversee the execution of desk and field claim audits, ensuring accurate documentation of findings and recommendations
• Review and approve audit reports, ensuring clarity, accuracy, and actionable insights
• Present audit results to senior management and clients, facilitating response reconciliation and audit closure
• Monitor the implementation of audit recommendations, tracking follow-up actions to resolution
• Collaborate with internal stakeholders, external partners and clients to enhance claim accuracy practices and fraud mitigation strategies
• Analyze audit data to identify trends, risks, and opportunities for process improvement
• Foster a culture of continuous improvement, encouraging innovative solutions and best practices within the team
• Ensure compliance with all treaties, relevant policies, procedures, and regulatory requirements
• Manage team resources effectively, prioritizing tasks and projects to meet deadlines and achieve objectives
• The base pay range for this position is $93,000.00 - 124,000.00 - 155,000.00 Annual The specific pay offered may be influenced by a variety of factors, including the candidate's experience, education, and skill set. This position is also eligible for an annual discretionary bonus based on a percentage of your base salary on the plan. This posting is expected to close on November 30, 2024
  
  Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse-based resource; and access to the Employee Assistance Program, providing 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Retirement Savings Plan, a tax-advantaged 401(k) savings opportunity with company matching contributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness.
  
  General Electric Company, Ropcor, Inc., their successors, and in some cases their affiliates, each sponsor certain employee benefit plans or programs (i.e., is a "Sponsor"). Each Sponsor reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion. No individual has a vested right to any benefit under a Sponsor's welfare benefit plan or program. This document does not create a contract of employment with any individual.

Required Qualifications

• Bachelor's degree in business, management, insurance, or commensurate experience
• Minimum of ten (10) years of experience in insurance and/or reinsurance claims, with at least five (5) years in an audit or management role
• Proven experience in leading and managing claim adjudication or audit teams, with a track record of driving performance and achieving results
• Strong knowledge of insurance policy provisions, benefit eligibility requirements, and limitations
• Proficiency in medical terminology and medical impairments related to long-term care, disability, life, and/or health insurance claims
• Excellent written and oral communication skills, with the ability to present complex information clearly and persuasively

Desired Characteristics

• Industry-specific education or related professional designations
• Experience in reinsurance claims
• Extensive long term care claim experience
• Strong analytical and problem-solving skills with the ability to interpret data, perform root cause analysis and develop solutions
• A growth mindset with a focus on continuous improvement
• Exceptional organizational and prioritization skills, with the ability to manage multiple projects simultaneously
• Strong interpersonal skills, with the ability to build and maintain positive relationships with internal and external stakeholders
• Knowledge of Microsoft Office Suite, Power BI and ability to navigate other business-related software, including claim processing systems and applications.

Additional Information

GE offers a great work environment, professional development, challenging careers, and competitive compensation. GE is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

GE will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).

Relocation Assistance Provided: No

#LI-Remote - This is a remote position