Senior Claims Specialist

Westfield

$80K — $110K *
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 6-10 years of experience at a specialty insurance carrier or law firm.
  • Significant knowledge of public/private D&O, E&O, or EPL claims.
  • Bachelor's degree and Juris Doctor from an accredited institution required.
  • Must obtain and maintain insurance adjuster licenses.
  • Strong written and verbal communication skills.
  • Excellent analytical and investigative skills.
  • Ability to work effectively in a fast-paced, team-oriented environment.

Responsibilities

  • Manage commercial and financial lines D&O, E&O, EPL, Fiduciary, and Crime/Fidelity claims.
  • Evaluate claims for coverage and exposure while adhering to best practices.
  • Deliver exceptional customer service to internal and external stakeholders.
  • Collaborate on coverage-related issues with outside counsel if needed.
  • Prepare reports and update management and underwriting on claim statuses.
  • Participate in mediations and settlement discussions to resolve claims.
  • Analyze claim trends and assist in developing policy language.

Benefits

  • Work in a diverse and inclusive environment without discrimination.
  • Opportunity for professional growth and license maintenance support.
Full Job Description
Job Description

Duties and Responsibilities:

  • Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims.
  • Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.
  • Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners.
  • Review and evaluation of policies to determine coverage.
  • Resolve coverage-related matters working collaboratively with outside counsel when necessary.
  • Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed.
  • Adhere to all statutory regulations and Unfair Claims Practices Acts.
  • Consistently communicate claim developments, exposure analyses and requests for authority to claims management.
  • Participate in mediations, settlement conferences and otherwise see claims through to resolution.
  • Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language.
  • Along with underwriting, attend current and prospective meetings with insureds and brokers.
  • Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation.


Qualifications:

  • Minimum of 6 to 10 years' experience at either a specialty insurance carrier and/or law firm.
  • Significant public/private D&O, E&O or EPL experience. Experience with program claims and working with MGU and MGA platforms in a claim capacity.
  • Bachelor's degree and Juris Doctor from an accredited law school required.
  • Candidates will be required to obtain and maintain insurance adjuster licenses.
  • Excellent written communication skills.
  • Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population.
  • Strong analytic, investigative, listening and negotiation skills.
  • Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail.
  • Experience working in a fast-paced environment, completing work with limited supervision.
  • Experience with Microsoft Windows, Outlook, and Excel or transferable software packages.
  • Ability and willingness to travel as needed.
  • Ability to be onsite in office 4 days a week as per corporate policy


This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.

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