Senior Complex Claims & Coverage Specialist

Vela Insurance Services (a Berkley Company); West Hartford (CT); On-site; USD 135,000 - 150,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Wellness program

Paid time off

401(k) and profit sharing

Annual discretionary bonus

Job summary

Vela Insurance Services (a Berkley Company) is seeking an experienced claims professional to analyze coverage, evaluate liability and damages, and manage litigation with counsel. Responsibilities include reserving, documentation, and client relations to ensure strong outcomes.

Candidates should have 8+ years claims experience, deep insurance knowledge, and preferably NY labor law/ construction claim expertise. JD preferred; NY adjuster license a plus. Excellent benefits and bonus eligibility.

Qualifications

• Eight or more years of claims handling experience or equivalent.
• Deep knowledge of the insurance industry, including legal and regulatory environments.
• Specialized knowledge in New York labor law and construction-related claims (preferred).

Responsibilities

• Analyze coverage, identify issues, and prepare letters for supervisor approval.
• Investigate and evaluate liability and damages.
• Manage litigation with assigned counsel, including plans and budgets.
• Establish reserves within authority and re-evaluate throughout the claim.
• Maintain documentation and active diary for claims.
• Negotiate settlements within authority; attend mediations and conferences.
• Oversee outside vendors to control work and expenses.
• Develop positive client relationships and service.
• Identify opportunities for co-insurance and subrogation.
• Mentor claims associates and provide technical advice.

Skills

Claims handling

Insurance knowledge

Regulatory compliance

Construction claims

New York law

Education

Four-year college degree

Juris Doctor preferred

Industry designations (CRIS/AIC/SCLA) preferred

New York adjuster license a plus

Job description

Vela Insurance Services (a Berkley Company) is seeking an experienced claims professional to analyze coverage, evaluate liability and damages, and manage litigation with counsel. Responsibilities include reserving, documentation, and client relations to ensure strong outcomes.

Candidates should have 8+ years claims experience, deep insurance knowledge, and preferably NY labor law/ construction claim expertise. JD preferred; NY adjuster license a plus. Excellent benefits and bonus eligibility.