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Senior Claims Adjuster, Professional Liability Claims

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

5+ years of claims experience in Professional Liability and Miscellaneous E&O insurance., A JD is preferred but not required., Strong written and verbal communication skills are essential., Proven ability to manage high-volume claims and analyze complex coverage issues..

Key responsabilities:

  • Handle nationwide claims under primary and excess Miscellaneous Professional E&O.
  • Communicate effectively with insureds, agents, and brokers regarding claim status.
  • Manage litigation and negotiate settlements, attending mediations and trials as necessary.
  • Prepare coverage letters and reports, ensuring compliance with state guidelines.

Skyward Specialty Insurance logo
Skyward Specialty Insurance

Job description

Overview:

Skyward Specialty is a property and casualty insurance holding company formed in 2007. Based in Houston, Texas, and with staff throughout the country, Skyward Specialty provides admitted and non-admitted solutions to retail and wholesale distributors, managing general agents and captive markets. We have built highly respected businesses in specialty lines including management professional liability, medical stop loss, surety, E&S property and liability, and large commercial property, as well as multi-line solutions for the energy, trucking and construction industries.

 

At Skyward Specialty, we approach this business differently. In fact, we’re different from most others in our industry in just about every way. We have the spirit of a start-up with the security of over $1.7 billion in Written Premium. We put immense brain power and energy into finding greater insights to uncover better opportunities for our clients, partners, and people. We think at a higher level, so they can succeed at a higher level.

 

We are committed to a Diverse Workforce

Skyward Specialty is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, nativity, neurodiversity, genetics, disability, age, or veteran status. For more information about us please visit www.skywardinsurance.com

Responsibilities:

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, 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 litigation on 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 (travel costs reimbursable).
  • Manage and control Loss Adjusting Expenses incurred by counsel, experts and vendors.
  • Refer all potential policy limits demands, independent counsel requests, bad faith allegations/suits, and DOI issues as directed.
  • 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 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 $100,000 - $135,000 (Claims Adjuster - Sr. Claims Adjuster).  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.

 

#LI-Remote

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Adaptability
  • Communication
  • Problem Solving

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