Senior Claims Examiner

Canopius • New York, NY

3d • $150,000 - $165,500 • Hybrid

About The Position

The Senior Claims Examiner adjusts primary and excess cyber claims, which may include reviewing and approving delegated claims that exceed third-party administrator (TPA) authority. The role analyzes coverage and ensures appropriate coverage letters are sent. It also participates in audits of assigned TPAs and reviews monthly reports, while working with underwriting to provide relevant claims, coverage, and agent information.

Requirements

• Bachelor’s degree and five or more years of progressive technical claims experience.
• Thorough technical knowledge of cyber policies and procedures.
• Thorough functional knowledge of Microsoft Office tools, including Word and Excel.
• Willingness to learn and handle other lines of business based on workload and need.
• Self-starter who wants to work collaboratively and provide insight and feedback to other departments.
• Ability to communicate effectively with adjusters, coworkers, and clients.
• Strong analytical skills.
• Strong attention to detail and focus on delivering high-quality work.
• Highly motivated, enthusiastic, and structured working style.
• Customer-service and relationship-oriented.
• Maintain valid adjuster licenses in assigned states or have the ability to obtain them.
• Detail-oriented, adaptable, and strategic in decision-making.

Responsibilities

• Proactively adjust claims within assigned authority and in accordance with the Canopius claims philosophy.
• Conduct coverage analysis.
• Review and approve reservation of rights and coverage denial letters to ensure accuracy and consistency in coverage analysis.
• Review claims to ensure appropriate reserve levels and that changes are made on a timely basis.
• Refer claims in excess of authority to a supervisor.
• 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 preparation of reports for underwriting, agents, insureds, or state agencies as needed.
• 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