Senior Claims Adjuster, Professional Liability

Location: Remote - US

Time Type: Full time

Job Description

The successful candidate will join our dynamic and inclusive team, bringing enthusiasm, innovation, and a commitment to excellence that aligns with our collaborative and high-energy culture.

• Handle claims nationwide reported under primary and excess Miscellaneous Professional E&O, including coverage analysis, investigation, liability and potential exposure analysis, and the development and implementation of resolution strategies.

• Effectively and promptly communicate with insureds, agents, brokers and underwriters regarding claim status and handling.

• Analyze coverage and prepare coverage letters on complex matters with the guidance of in-house coverage counsel.

• Manage claims in litigation, including strategizing with defense counsel and experts on defending such.

• Set timely and accurate indemnity and expense reserves and reevaluate/update reserves appropriately based upon claim development.

• Negotiate settlements and attend mediations, arbitrations and trials as appropriate

• Manage and control Loss Adjusting Expenses incurred by counsel, experts and vendors.

• Present, analyze and make recommendations on reserves, coverage and strategy.

• Comply with state guidelines for Good Faith Claims Handling.

• Prepare required Large Loss Reports and Trial Alerts.

• Participate in professional liability industry organizations and instructional seminars for CE and CLE credits. 

• Effectively communicate and interact with all internal and external stakeholders to promote a professional and positive business environment so that Skyward’s goals and objectives are being achieved.

• Other duties as may be required due to change, growth, and continuous improvement.

Qualifications

• 5+ plus years of claims experience as an adjuster in Professional Liability, Miscellaneous E&O, Allied Health, Architects and Engineers policies and/or professional liability insurance defense or coverage at a law firm

• A candidate with a JD is preferred, but not required

• Superior written and verbal communication skills

• Experience in effectively managing a high-volume workload of primary and excess professional liability claims

• Highly organized and efficient in a fast-paced multi-tasked environment; able to prioritize effectively to accomplish objectives with creativity and enthusiasm, and with minimal supervision

• Has demonstrated high level of understanding of individual state and civil laws, claims practices and regulatory requirements

• Proven ability to handle litigated files in multiple jurisdictions

• Proven ability to direct and maintain a high level of claims management performance, quality, and compliance

• Proven ability to analyze coverage and draft coverage letters on complex matters

• Strong analytical and organizational skills

• Excellent influencing and negotiation skills; proven ability to collaborate and build relationships across teams’ stakeholders and providers

• Experience attending and participating in ADR’s/Mediations leading to successful and timely claim resolutions

• Flexibility to travel periodically

• Exercises initiative, demonstrates accountability, adaptability, service motivation, respects the differences of others, and accepts personal responsibility

Compensation & Benefits

The applicable base salary for this opportunity is $130,000 - $145,000. The base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. In addition to the base salary, this opportunity may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition and professional certification assistance, 401k savings, elective participation in the Employee Stock Purchase Program, paid time off, paid holidays, and child bonding leave, as well as other employee assistance programs.

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