Senior Claims Examiner - FinPro

The Role

Directly handles and provides oversight of professional liability claims, including review and approval of claims exceeding the TPA’s authority. Analyzes coverage and ensures that appropriate coverage letters are issued. Participates in audits and ongoing review of monthly TPA reports. Works with underwriting to provide relevant information on claims, coverage and industry trends. 

Responsibilities

• Investigate and assess claims for coverage, damages, and pursuit of recoveries and subrogation/contribution opportunities.
• Demonstrate an in-depth understanding of coverage issues, policy forms, contracts, regulatory requirements, and legal landscape for specialty line claims.
• Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcome
• Continually evaluate claims to set appropriate and timely reserves over the life of the claim
• Demonstrate strong technical claims proficiency through consistent execution of best claim practices
• Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome 
• Prepare notification to underwriters and reinsurers for large or contentious claims
• Review and approve TPA funding requests within authority
• Participate in claim file audits to monitor TPA performance
• Assist with preparation of reports for underwriting, agents, insureds or state agencies as needed
• Collaborate with internal and external business partners for client meetings, product development and improvement
• Occasional travel
• Other duties as assigned

Skills and Qualifications 

• Bachelor’s degree; law degree preferred; seven or more years of progressive technical claim experience is required 
• Detail-oriented, adaptable and strategic in decision-making.
• Thorough technical knowledge of litigated claim handling.
• Thorough functional knowledge of Microsoft Office tools, including Word and Excel
• Self-starter with  the desire to work in a collaborative environment and provide insight and feedback to other departments 
• Ability to communicate effectively 
• Strong analytical skills 
• Strong verbal and written communication skills
• Good mathematical skills with ability to compute rate, ratio and percent and to draw and interpret bar graphs and tables.
• Strong attention to detail and focused on the delivery of high-quality work
• Highly motivated, enthusiastic and structured working style
• Customer service and relationship-oriented
• Maintain valid adjusters’ license(s) in states assigned or an ability to obtain same.

Salary Range: $140,000 - $180,000

About UsOur benefits
We offer all employees a comprehensive benefits package that focuses on their whole wellbeing. This includes hybrid working, a competitive base salary, non-contributory 401k, discretionary bonus, insurances including medical, dental and vision cover, and many other benefits to enhance financial, physical, social and psychological health.
 
About Canopius
Canopius is a global specialty lines (re)insurer. We are one of the leading insurers in the Lloyd’s of London insurance market with offices in the UK, US, Singapore, Australia and Bermuda.  
At Canopius we foster a distinctive, positive culture which enables us to bring our whole selves to work to flourish as people, and build a business which delivers profitable, sustainable results.
Canopius operates a flexible, hybrid working model and is committed to providing an environment that challenges employees to be their best and where everyone's unique contributions are recognised, valued and respected.  
We are fully committed to equal employment opportunities for all applicants and providing employees with a work environment free of discrimination and harassment. All employment decisions are made regardless of age, sex, gender identity, ethnicity, disability, sexual orientation, socio-economic background, religion or beliefs, marital or caring status, or any other status protected by the laws or regulations in the locations where we operate.  We encourage and welcome applicants from all diverse backgrounds.
We make reasonable adjustments throughout the recruitment process and during employment. Please let us know if you require any information in an alternate format or any other reasonable adjustments.