Senior Claims Specialist
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Westfield Specialty, Inc. is hiring a Senior Claims Specialist. The Senior Claims Specialist will directly handle and manage commercial and financial lines claims, including Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary, and Crime/Fidelity. This role involves all phases of claim handling, from initial contact and investigation to coverage evaluation, reserving, and resolution. The specialist will provide excellent customer service, collaborate with internal and external partners, and ensure adherence to statutory regulations and Unfair Claims Practices Acts.
Key focus areas include 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., and Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners..
Successful candidates bring Bachelor's Degree, Juris Doctor, and Insurance Adjuster Licenses. Important skills include Communication, Interpersonal Communication, Analytic, Investigative, Listening, and Negotiation. Preferred (not required): Collaboration and Working With Limited Supervision.
Skills & qualifications
Skills
Qualifications
Full job description
Experience Required
6 - 10 years
Minimum Education Required
Bachelor Degree
Compensation
$15.92 / Hourly
Hours Per Week
40
Number Of Positions
1
Shift
First Shift (Day)
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.
Westfield Specialty is proud to be an Equal Employment Opportunity employer. We celebrate diversity and do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, veteran status, disability status, or any other applicable characteristics protected by law.
Westfield celebrates diversity and is committed to inclusion. All qualified applicants receive consideration for employment without regard to race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, or status as a protected veteran.
Place of Work
On-site
Requisition ID
11255
Job Type
Full Time
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