Claims Senior Specialist

Westfield Insurance; Berkeley Heights (NJ); Hybrid; USD 85,000 - 120,000; Full time

Job summary

A specialty insurance firm in Berkeley Heights is seeking an experienced professional to manage public and private D&O claims. The role involves collaborating with internal and external stakeholders, reviewing policies for coverage, and ensuring compliance with regulations. Candidates should have 6 to 10 years of experience in the insurance sector or law firm, possess a bachelor's degree and Juris Doctor, and demonstrate strong analytical and communication skills. This position offers a hybrid work model.

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.
• Candidates will be required to obtain and maintain insurance adjuster licenses.

Responsibilities

• Manage and oversee public and private D&O and financial claims.
• Provide top-notch customer service to all stakeholders.
• Review policies to determine coverage and resolve related matters.

Skills

Analytical skills

Communication skills

Negotiation skills

Investigation skills

Teamwork

Attention to detail

Education

Bachelor’s degree

Juris Doctor from an accredited law school

Tools

Microsoft Windows

Outlook

Excel

Job description

• Locations 300 Connell Drive, Berkeley Heights, NJ, 07922, US (Hybrid)
• Job Schedule Full time

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 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.

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.

EQUAL OPPORTUNITY EMPLOYER

United States: All 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.

United Kingdom: Westfield is committed to equality of opportunity for all staff and applications from individuals are encouraged regardless of age, disability, sex, gender reassignment, sexual orientation, pregnancy and maternity, race, religion or belief and marriage and civil partnerships.