Senior Claims Specialist

Westfield Group, Insurance • Alpharetta, GA

104d

About The Position

The position involves managing and overseeing various types of claims including commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary, and Crime/Fidelity claims. The role requires adherence to Claim Handling Best Practices throughout all phases of the claim process, from initial contact to resolution. The individual will provide exceptional customer service and collaborate with internal and external stakeholders, including outside counsel, to resolve coverage-related matters. The position also entails reviewing policies for coverage determination, completing reports for management and other stakeholders, and participating in mediations and settlement conferences. The candidate will work closely with underwriting and other business partners to analyze claim trends and develop policy language.

Requirements

• 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.

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.
• Attend current and prospective meetings with insureds and brokers along with underwriting.
• Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation.

What This Job Offers

• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees