Senior Claims Adjuster, Professional Liability

🕒 July 14

🇺🇸 United States – Remote

💵 $130k - $145k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 23%

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Logo of Skyward Specialty Insurance

Skyward Specialty Insurance

501 - 1000 employees

Founded 2007

🏗️ Construction

💼 Consulting

🏥 Healthcare

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

Construction • Consulting • Healthcare

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 nationwide claims reported under primary and excess Miscellaneous Professional E&O • Conduct coverage analysis, investigation, liability and potential exposure analysis • Develop and implement resolution strategies • Communicate with insureds, agents, brokers, and underwriters regarding claim status and handling • Analyze coverage and prepare coverage letters on complex matters with in-house coverage counsel guidance • Manage litigated claims and strategize with defense counsel and experts • Set, reevaluate, and update indemnity and expense reserves based on 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 Large Loss Reports and Trial Alerts • Participate in professional liability industry organizations and instructional seminars for CE and CLE credits • Communicate with internal and external stakeholders to support Skyward’s goals and objectives • Perform other duties required by change, growth, and continuous improvement

🎯 Requirements

• 5+ 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 managing a high-volume workload of primary and excess professional liability claims • Ability to prioritize effectively in a fast-paced, multi-tasked environment with minimal supervision • High-level understanding of individual state and civil laws, claims practices and regulatory requirements • Proven ability to handle litigated files in multiple jurisdictions • Proven ability to maintain high 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 ADRs/mediations leading to successful and timely claim resolutions • Flexibility to travel periodically • Initiative, accountability, adaptability, service motivation, respect for differences, and personal responsibility

🏖️ Benefits

• Performance-based incentives • Health and welfare benefits • Tuition assistance • Professional certification assistance • 401k savings • Employee Stock Purchase Program • Paid time off • Paid holidays • Child bonding leave • Employee assistance programs

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