Senior Claims Adjuster, Professional Liability

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Skyward Specialty Insurance

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2007

🤝 B2B

💸 Finance

⚕️ Healthcare Insurance

💰 $177.3M Post-IPO Secondary - Skyward Specialty on 2024-05

B2B • Finance • Healthcare Insurance

Skyward Specialty Insurance is a Houston-based specialty insurance group that provides tailored risk solutions across niche and complex markets. The company offers a range of specialty insurance products including transactional Excess & Surplus (E&S), professional lines, medical stop-loss, surety, captives, programs, global property, agriculture & credit (re)insurance, and risk consulting. Skyward works primarily with brokers and agents, leverages technology (including e-surety capabilities) to deliver innovative underwriting and claims services, and focuses on high-complexity, non-standard risks and scalable specialty solutions.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• health and welfare benefits • tuition and professional certification assistance • 401k savings • elective participation in the Employee Stock Purchase Program • paid time off • paid holidays • child bonding leave • other employee assistance programs