Claims Specialist- Financial Lines

Westfield Specialty Insurance; Berkeley Heights (NJ); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading specialty insurance company is seeking a candidate to manage financial lines claims, including plastic card fraud and employment practices liability. Candidates should have 1-3 years of experience in a specialty insurance carrier or law firm, a bachelor's degree, and excellent communication and analytical skills. The role will involve providing customer support, handling claims, and collaborating with internal teams. This position is located in Berkeley Heights, NJ and offers a dynamic work environment.

Qualifications

• Minimum of 1 to 3 years of experience in specialty insurance or law firm.
• Experience with plastic card fraud and employment practices liability claims.
• Ability to travel as needed.

Responsibilities

• Directly handle financial lines claims including fraud.
• Provide excellent customer service in all interactions.
• Work with underwriting to analyze claim trends.

Skills

Excellent written communication skills

Excellent verbal and interpersonal communication skills

Strong analytic skills

Negotiation skills

Attention to detail

Education

Bachelor’s degree

Juris Doctor degree

Tools

Microsoft Windows

Outlook

Excel

Job description

Job Responsibilities

• Directly handle, manage and/or oversee financial lines plastic card fraud and theft claims; and employment practices liability 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 1 to 3 years of experience at either a specialty insurance carrier and/or law firm.
• Plastic card and EPL experience. Financial institutions E&O and D&O a plus.
• Bachelor’s degree required.
• Juris Doctor degree from an accredited law school a plus.
• 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.

Licenses and Certifications

• Certified Professional Claims Management (CPCM) (preferred)
• Certified Claims Adjuster (CCA) (preferred)
• Chartered Property Casualty Underwriter (CPCU) (preferred)

Behavioral Competencies

• Collaborates
• Communicates Effectively
• Customer Focus
• Decision Quality
• Nimble Learning

Technical Skills

• Account Management
• Claims Investigations
• Claims Adjustment
• Claims Resolution
• Claims Settlement
• Financial Controls
• Auditing
• Claims Case Management
• Customer Relationship Management
• Business Process Improvement
• Auditing
• Data Analysis and Reporting

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.

#WSP

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.