Senior Claims Specialist

Westfield; Los Angeles (CA); Vor Ort; USD 120.000 - 180.000; Vollzeit

Zusammenfassung

Westfield Specialty is seeking an experienced claims professional to lead complex commercial and financial lines claims, including D&O, E&O and EPL. You will investigate, evaluate coverage, and reserve, while collaborating with outside counsel and underwriting to improve policy language and manage budgets.

The role requires strong communication, analytical, and negotiation skills, with 6–10 years in a specialty insurer or law firm, and a JD plus licenses to adjust insurance claims.

Qualifikationen

• Minimum 6–10 years’ experience in specialty insurance or law firm.
• Significant D&O, E&O or EPL experience; program claims and MGA/MGU platforms.
• Bachelor’s degree and Juris Doctor from an accredited law school.
• Candidates will be required to obtain and maintain insurance adjuster licenses.
• Excellent written and verbal communication skills.
• Strong analytic, investigative, listening and negotiation skills.
• Experience with multitasking and prioritizing in a fast-paced environment.
• Experience with Microsoft Windows, Outlook, and Excel or transferable software.

Aufgaben

• Directly handle, manage and oversee commercial and financial lines claims including D&O, E&O, EPL.
• Investigate claims through initial contact, investigation, coverage evaluation, reserving and resolution.
• Provide high-quality customer service to internal and external stakeholders.
• Review policies to determine coverage and resolve coverage-related issues with outside counsel as needed.
• Prepare written reports and present claim developments to management, underwriting, actuary and reinsurers.
• Comply with all statutory regulations and unfair claims practices acts.
• Communicate developments and exposure analyses to claims management.
• Participate in mediations and settlement conferences; see claims through to resolution.
• Collaborate with underwriting and other partners to discuss claim trends and policy language.
• Attend meetings with insureds and brokers; manage outside vendors and outside attorneys to oversee budgets and litigation.

Kenntnisse

Communication

Negotiation

Analytical

Teamwork

Attention to detail

Multitasking

Microsoft Office

Ausbildung

Juris Doctor (JD)

Bachelor's degree

Tools

Microsoft Excel

Outlook

Claim management software

Jobbeschreibung

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.