Senior Error & Omissions Claims Specialist responsible for handling E&O and EPLI claims. Working on a multistate basis with direct handling and negotiation responsibilities.
Responsibilities
Investigating, evaluating, negotiating, and resolving E&O and EPLI claims with and without litigation on a multistate basis.
Initiate investigations and conduct direct handling of Errors and Omissions and Employment Practices Liability claims.
Assign and direct attorneys and adjusters.
Analyze coverage and legal issues.
Evaluate liability and damages both in the claim against the insured and in the underlying loss that precipitated the claim.
Establish timely, realistic reserves and settlement values.
Prepare file and other department or company mandated reports.
Issue reservation of rights letters, excess advice letters and recommend disclaimers or voidance.
Negotiate settlements while maintaining current knowledge of applicable state law and court decisions.
Interface with the Underwriters, H. O. Claim staff, insureds, claimants, attorneys, and adjusters.
Communicate developments in assigned states to staff via Supervisor/Manager.
Perform other duties as assigned and conform with all corporate policies and procedures.
Requirements
Four year degree or JD preferred; or equivalent experience.
4-8 years of claims experience demonstrating expertise in underlying coverages preferred.
Broad background in litigated matters preferred.
Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.
Benefits
Medical and Prescription Drug Benefit
Dental Benefit
Vision Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
Health Savings Account (HSA)
Flexible Spending Accounts
Tuition Assistance, Training, and Professional Designations
Company-Paid Family Leave
Adoption/Surrogacy Assistance Benefit
Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
Student Loan Refinancing Services
Care.com Membership with Back-up Care, Senior Solutions
Bodily Injury Claims Specialist managing a large inventory of complex claims for National Interstate Insurance. Conducting investigations and analyzing settlements for compensability and liability issues.
Entry - level Claims Representative II Trainee providing foundational claims handling at Inservco Insurance Services. Assisting in basic claims under supervision while learning best practices and customer service.
Claims Examiner at ICW Group managing complex claims while providing exceptional service. Focused on resolution strategies, collaboration, and regulatory compliance in the insurance sector.
Sr. Claims Examiner handling litigation losses for insurance brokerage in Garden City, NY. Investigating claims, managing adjusters, and ensuring proper loss reserving in a hybrid work environment.
Claims Representative II managing moderate - to - complex bodily injury and general liability claims. Investigating losses, determining liability, and negotiating settlements in various states of the US.
Claims Examiner responsible for adjudicating workers' compensation claims for California clients. Analyzing claims, negotiating settlements, and ensuring compliance with client service requirements and industry standards.
Claims Examiner analyzing complex workers' compensation claims for Sedgwick, a global risk and claims administration leader. Ensuring claims adjudication meets service expectations and client requirements.
Claims Representative role in training for workers' compensation at Sedgwick. Involves investigation and resolution of claims with ongoing professional development.
Property Claims Representative managing a personal caseload of property claims at Hastings Insurance. Investigating and resolving claims while providing customer support.