Senior Claims Specialist

Westfield Insurance; Chicago (IL); On-site; USD 110,000 - 170,000; Full time

Job summary

Westfield Insurance is seeking an experienced Claims professional to manage complex commercial and financial lines claims (Public/Private D&O, E&O, EPL) with a focus on coverage analysis, investigation, and settlement. You will coordinate with outside counsel and reinsurers as needed while maintaining regulatory compliance.

The role requires strong communication and analytical skills, travel as needed, and collaboration with underwriting and other partners to develop policy language and claim

Qualifications

• Minimum 6–10 years’ experience in specialty insurance claims or law

Responsibilities

• Directly handle and oversee commercial and financial lines claims (Public/Private D&O, E&O, EPL, Fiduciary, Crime)
• Manage all phases of claims from initial contact to resolution
• Provide exceptional customer service to internal and external stakeholders
• Review policies to determine coverage
• Resolve coverage matters with outside counsel when needed
• Prepare written reports and present to management, underwriting, actuary and reinsurers
• Adhere to regulatory requirements and Unfair Claims Practices Acts
• Communicate claim developments and authority requests to claims management
• Participate in mediations and settlement conferences
• Collaborate with underwriting to analyze claim trends and policy language
• Attend meetings with insureds and brokers with underwriting
• Coordinate with outside vendors and attorneys on budgets and litigation management

Skills

Communication skills

Analytical skills

Attention to detail

Negotiation skills

Travel willingness

Education

Bachelor’s degree

Juris Doctor (JD)

Tools

Microsoft Windows

Outlook

Excel

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.