Claims Specialist

WHAT YOU WILL DOManage High-Exposure and Complex Claims: Handle claims across Financial Lines (D&O, E&O, Cyber, Crime, Tech Liability) with high financial impact, ensuring efficient resolution while mitigating company exposure. Conduct Coverage Analysis: Review and interpret policy language, assess coverage applicability, and provide coverage determinations in alignment with legal and regulatory requirements. Litigation and Dispute Management: Oversee litigation strategies, work closely with external defense counsel, and participate in mediation, arbitration, and settlement negotiations. Regulatory and Compliance Oversight: Ensure claims handling practices comply with state, federal, and international regulations, particularly in emerging sectors such as blockchain and digital assets. Collaborate with Underwriting and Risk Teams: Provide insights on claims trends, risk assessments, and policy wording recommendations to enhance underwriting strategies and product development. Work with External Partners: Liaise with brokers, third-party administrators (TPAs), coverage counsel, and forensic investigators to facilitate claims investigations and resolutions. Lead Claims Investigations: Conduct in-depth claim assessments, including gathering evidence, interviewing key parties, and analyzing loss data to make well-informed claims decisions. Develop and Implement Claims Strategies: Establish proactive claims-handling strategies to optimize financial outcomes and improve policyholder experiences. Provide Thought Leadership on Emerging Risks: Stay ahead of market trends, regulatory developments, and industry best practices, particularly in financial lines and blockchain-related risks. Deliver Reports and Stakeholder Communications: Prepare detailed claim summaries, risk analyses, and reports for senior management, reinsurers, and regulatory bodies, ensuring transparency and strategic alignment. RequirementsBachelor's degree in Law, Business, Finance, Risk Management, or a related field required; Juris Doctor (JD) or advanced degree preferred. 3-5 years of experience handling complex financial lines claims, including D&O, E&O, Cyber, Crime, and Technology Liability in an insurance, legal, or risk management setting. Strong knowledge of insurance policy language, coverage analysis, and claims resolution strategies, particularly within financial and professional liability lines. Experience managing high-exposure, litigated claims, including oversight of outside counsel, mediation, and settlement negotiations. Familiarity with regulatory frameworks such as SEC regulations, GDPR, CCPA, AMLKYC compliance, and evolving digital asset insurance requirements. Prior experience in blockchain, fintech, or emerging technology-related risks is highly desirable. Proven ability to work with third-party administrators (TPAs), brokers, reinsurers, and risk management professionals to drive optimal claims outcomes. Strong analytical, negotiation, and communication skills, with the ability to articulate complex coverage issues and claims strategies to internal and external stakeholders. Adjuster license in all 50 states strongly preferred; ability to obtain additional state licenses as required. The annual salary for this role is structured within a range of USD$140,000 to USD$160,000, depending on experience and qualifications.BenefitsWHAT WE OFFER A comprehensive benefits package, including medical, dental, vision, life insurance, long-term and short-term disability, all paid at 100% for employees. Up to 5% of salary 401(k) employer match Competitive compensation 28 Days of PTO Training and mentorship opportunities Educational stipend An environment where you opinion is not only heard but crucial to our teams' success A multitude of growth

Created: 2025-02-19