Senior Claims Specialist

Posted Yesterday
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Los Angeles, CA, USA
Hybrid
Senior level
Insurance
The Role
Handle and oversee complex commercial and financial lines claims, including D&O, E&O, EPL, fiduciary, and crime claims. Responsibilities include investigating claims, evaluating coverage, reserving exposures, managing litigation and vendors, negotiating settlements, preparing reports, ensuring regulatory compliance, communicating developments, and collaborating with underwriting, actuaries, reinsurers, insureds, brokers, and counsel.
Summary Generated by Built In

Duties and Responsibilities:

 

  • Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims.

  • Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.

  • Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners.

  • Review and evaluation of policies to determine coverage.

  • Resolve coverage-related matters working collaboratively with outside counsel when necessary.

  • Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed.

  • Adhere to all statutory regulations and Unfair Claims Practices Acts.

  • Consistently communicate claim developments, exposure analyses and requests for authority to claims management.

  • Participate in mediations, settlement conferences and otherwise see claims through to resolution.

  • Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language.

  • Along with underwriting, attend current and prospective meetings with insureds and brokers.

  • Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation.

 

Qualifications:

 

  • Minimum of 6 to 10 years’ experience at either a specialty insurance carrier and/or law firm.

  • Significant public/private D&O, E&O or EPL experience. Experience with program claims and working with MGU and MGA platforms in a claim capacity.

  • Bachelor’s degree and Juris Doctor from an accredited law school required.

  • Candidates will be required to obtain and maintain insurance adjuster licenses.

  • Excellent written communication skills.

  • Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population.

  • Strong analytic, investigative, listening and negotiation skills.

  • Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail.

  • Experience working in a fast-paced environment, completing work with limited supervision.

  • Experience with Microsoft Windows, Outlook, and Excel or transferable software packages.

  • Ability and willingness to travel as needed.

  • Ability to be onsite in office 4 days a week as per corporate policy

 

This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.

 

Westfield Specialty is proud to be an Equal Employment Opportunity employer. We celebrate diversity and do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, veteran status, disability status, or any other applicable characteristics protected by law.

  •  

Skills Required

  • 6 to 10 years of experience at a specialty insurance carrier or law firm
  • Significant experience with public/private D&O, E&O, or EPL claims
  • Experience with program claims and MGU/MGA platforms in a claims capacity
  • Bachelor's degree
  • Juris Doctor degree from an accredited law school
  • Obtain and maintain insurance adjuster licenses
  • Excellent written communication skills
  • Excellent verbal and interpersonal communication skills
  • Strong analytical, investigative, listening, and negotiation skills
  • Ability to multitask, prioritize work, and maintain attention to detail
  • Ability to work effectively in a team environment
  • Ability to work in a fast-paced environment with limited supervision
  • Experience with Microsoft Windows, Outlook, Excel, or transferable software packages
  • Ability and willingness to travel as needed
  • Ability to work onsite four days per week
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The Company
Year Founded: 1851

What We Do

Westfield Specialty is a prominent specialty insurance carrier that combines global reach with local market expertise, supported by the financial strength of Westfield, a leading U.S.-based property and casualty insurance company. It delivers strategic, creative coverage solutions designed to help protect businesses, mitigate risk, and assist in driving growth for clients.

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