Senior Claims Adjuster, Professional Liability

Skyward Specialty

6d•$130,000 - $145,000•Remote

About The Position

The successful candidate will join our dynamic and inclusive team, bringing enthusiasm, innovation, and a commitment to excellence that aligns with our collaborative and high-energy culture. This role involves handling claims nationwide reported under primary and excess Miscellaneous Professional E&O, including coverage analysis, investigation, liability and potential exposure analysis, and the development and implementation of resolution strategies. The position requires effective and prompt communication with insureds, agents, brokers, and underwriters regarding claim status and handling. The candidate will analyze coverage and prepare coverage letters on complex matters with the guidance of in-house coverage counsel, and manage claims in litigation, including strategizing with defense counsel and experts on defending such. Setting timely and accurate indemnity and expense reserves and reevaluating/updating reserves appropriately based upon claim development is crucial. The role also includes negotiating settlements and attending mediations, arbitrations, and trials as appropriate, managing and controlling Loss Adjusting Expenses incurred by counsel, experts, and vendors, and presenting, analyzing, and making recommendations on reserves, coverage, and strategy. Compliance with state guidelines for Good Faith Claims Handling, preparing required Large Loss Reports and Trial Alerts, and participating in professional liability industry organizations and instructional seminars for CE and CLE credits are also key responsibilities. The role requires effective communication and interaction with all internal and external stakeholders to promote a professional and positive business environment so that Skyward’s goals and objectives are being achieved. Other duties as may be required due to change, growth, and continuous improvement.

Requirements

5+ plus years of claims experience as an adjuster in Professional Liability, Miscellaneous E&O, Allied Health, Architects and Engineers policies and/or professional liability insurance defense or coverage at a law firm
Superior written and verbal communication skills
Experience in effectively managing a high-volume workload of primary and excess professional liability claims
Highly organized and efficient in a fast-paced multi-tasked environment; able to prioritize effectively to accomplish objectives with creativity and enthusiasm, and with minimal supervision
Has demonstrated high level of understanding of individual state and civil laws, claims practices and regulatory requirements
Proven ability to handle litigated files in multiple jurisdictions
Proven ability to direct and maintain a high level of claims management performance, quality, and compliance
Proven ability to analyze coverage and draft coverage letters on complex matters
Strong analytical and organizational skills
Excellent influencing and negotiation skills; proven ability to collaborate and build relationships across teams’ stakeholders and providers
Experience attending and participating in ADR’s/Mediations leading to successful and timely claim resolutions
Exercises initiative, demonstrates accountability, adaptability, service motivation, respects the differences of others, and accepts personal responsibility

Nice To Haves

A candidate with a JD is preferred, but not required
Flexibility to travel periodically

Responsibilities

Handle claims nationwide reported under primary and excess Miscellaneous Professional E&O, including coverage analysis, investigation, liability and potential exposure analysis, and the development and implementation of resolution strategies.
Effectively and promptly communicate with insureds, agents, brokers and underwriters regarding claim status and handling.
Analyze coverage and prepare coverage letters on complex matters with the guidance of in-house coverage counsel.
Manage claims in litigation, including strategizing with defense counsel and experts on defending such.
Set timely and accurate indemnity and expense reserves and reevaluate/update reserves appropriately based upon claim development.
Negotiate settlements and attend mediations, arbitrations and trials as appropriate.
Manage and control Loss Adjusting Expenses incurred by counsel, experts and vendors.
Present, analyze and make recommendations on reserves, coverage and strategy.
Comply with state guidelines for Good Faith Claims Handling.
Prepare required Large Loss Reports and Trial Alerts.
Participate in professional liability industry organizations and instructional seminars for CE and CLE credits.
Effectively communicate and interact with all internal and external stakeholders to promote a professional and positive business environment so that Skyward’s goals and objectives are being achieved.
Other duties as may be required due to change, growth, and continuous improvement.