Senior Claims Examiner - FinPro

Canopius Careers; New York (NY); On-site; USD 140,000 - 180,000; Full time

Job summary

Canopius in New York is seeking an experienced senior professional liability claims leader to oversee complex claims, review coverage, and coordinate with underwriting. A law degree is preferred and seven or more years of technical claim experience are required.

The role includes communicating with underwriters, reinsurers and external partners, managing reserves, and traveling occasionally to client meetings and audits. Strong analytical and collaboration skills are essential to success.

Qualifications

• Bachelor’s degree; seven+ years of progressive technical claim experience is required.
• Law degree preferred.
• Detail-oriented, adaptable and strategic in decision-making.
• Thorough technical knowledge of litigated claim handling.
• Proficient with MS Office (Word & Excel).

Responsibilities

• Investigate and assess claims for coverage, damages, and pursuit of recoveries and subrogation/contribution opportunities.
• Demonstrate an in-depth understanding of coverage issues, policy forms, contracts, regulatory requirements, and legal landscape for specialty line claims.
• Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcome
• Continually evaluate claims to set appropriate and timely reserves over the life of the claim
• Demonstrate strong technical claims proficiency through consistent execution of best claim practices
• Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome
• Prepare notification 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
• Collaborate with internal and external business partners for client meetings, product development and improvement
• Occasional travel
• Other duties as assigned

Skills

Detail-oriented

Strategic thinking

Analytical skills

Effective communication

Team collaboration

Customer service mindset

Licensing knowledge

Education

Bachelor’s degree

Law degree

Tools

Microsoft Word

Microsoft Excel

Claim management software

Job description

The Role

Directly handles and provides oversight of professional liability claims, including review and approval of claims exceeding the TPA’s authority. Analyzes coverage and ensures that appropriate coverage letters are issued. Participates in audits and ongoing review of monthly TPA reports.Works with underwriting to provide relevant information on claims, coverage and industry trends.

Responsibilities

• Investigate and assess claims for coverage, damages, and pursuit of recoveries and subrogation/contribution opportunities.
• Demonstrate an in-depth understanding of coverage issues, policy forms, contracts, regulatory requirements, and legal landscape for specialty line claims.
• Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcome
• Continually evaluate claims to set appropriate and timely reserves over the life of the claim
• Demonstrate strong technical claims proficiency through consistent execution of best claim practices
• Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome
• Prepare notification 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
• Collaborate with internal and external business partners for client meetings, product development and improvement
• Occasional travel
• Other duties as assigned

Skills and Qualifications

• Bachelor’s degree; law degree preferred; seven or more years of progressive technical claim experience is required
• Detail-oriented, adaptable and strategic in decision-making.
• Thorough technical knowledge of litigated claim handling.
• Thorough functional knowledge of Microsoft Office tools, including Word and Excel
• Self-starter with the desire to work in a collaborative environment and provide insight and feedback to other departments
• Ability to communicate effectively
• Strong analytical skills
• Strong verbal and written communication skills
• Good mathematical skills with ability to compute rate, ratio and percent and to draw and interpret bar graphs and tables.
• Strong attention to detail and focused on the delivery of high-quality work
• Highly motivated, enthusiastic and structured working style
• Customer service and relationship-oriented
• Maintain valid adjusters’ license(s) in states assigned or an ability to obtain same.

Salary Range: $140,000 - $180,000