Senior Claims Examiner - FinPro

Canopius • New York, NY

8d • $140,000 - $180,000 • Hybrid

About The Position

The Senior Claims Examiner directly handles and provides oversight of professional liability claims, including reviewing and approving claims that exceed a third-party administrator’s authority. The role analyzes coverage and ensures appropriate coverage letters are issued. It also participates in audits and ongoing review of monthly TPA reports and works with underwriting to provide relevant information on claims, coverage, and industry trends.

The position requires strategic, timely management of claims and coordination with internal and external partners, including outside counsel, vendors, underwriters, and reinsurers. The examiner contributes to claim audits, reporting, client meetings, and product development and improvement. Occasional travel is required.

Requirements

• Bachelor’s degree.
• Seven or more years of progressive technical claim experience.
• Thorough technical knowledge of litigated claim handling.
• Thorough functional knowledge of Microsoft Office tools, including Word and Excel.
• Ability to maintain valid adjusters’ licenses in assigned states or obtain them.
• Strong analytical skills.
• Ability to communicate effectively, with strong verbal and written communication skills.
• Good mathematical skills, including computing rates, ratios, and percentages and drawing and interpreting bar graphs and tables.
• Attention to detail and focus on delivering high-quality work.
• Ability to be adaptable and strategic in decision-making.
• Self-starter who wants to work collaboratively and provide insight and feedback to other departments.
• Highly motivated, enthusiastic, and structured working style.
• Customer-service and relationship-oriented approach.

Nice To Haves

• Law degree.

Responsibilities

• Investigate and assess claims for coverage, damages, and opportunities for recoveries, subrogation, or contribution.
• Apply an in-depth understanding of coverage issues, policy forms, contracts, regulatory requirements, and the legal landscape for specialty-line claims.
• Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcomes.
• Continually evaluate claims and set appropriate, timely reserves over the life of each claim.
• Execute best claim practices and demonstrate strong technical claims proficiency.
• Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcomes.
• Prepare notifications to underwriters and reinsurers for large or contentious claims.
• Review and approve TPA funding requests within authority.
• Participate in claim file audits to monitor TPA performance.
• Assist with reports for underwriting, agents, insureds, or state agencies as needed.
• Collaborate with internal and external business partners on client meetings and product development and improvement.
• Travel occasionally.
• Perform other duties as assigned.

Benefits

• Hybrid working.
• Competitive base salary.
• Non-contributory 401(k).
• Discretionary bonus.
• Medical, dental, and vision insurance.
• Other benefits intended to support financial, physical, social, and psychological health.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior