Senior Claims Examiner

The Role

Is responsible for adjusting primary and excess cyber claims. It may include the review and approval of delegated claims exceeding TPA authority. Analyses coverage and ensures that appropriate coverage letters are sent. Participates in audits of assigned TPAs and ongoing review of monthly reports. Works with underwriting to provide relevant information on claims, coverage and agents.

Responsibilities

• Proactively adjust claims within your authority and in accordance with the Canopius claims philosophy.
• Conduct coverage analysis
• Review and approve reservation of rights and coverage denial letters to ensure accuracy and consistency in coverage analysis
• Review claims to ensure appropriate reserve levels and that changes are made on a timely basis
• Refer claims in excess of authority to supervisor
• 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
• Occasional travel
• Other duties as assigned

Skills and Qualifications

• Bachelor’s Degree and five or more years of progressive technical claim experience is required
• Detail-oriented, adaptable and strategic in decision-making.
• Thorough technical knowledge of cyber policies and procedures is required.
• Thorough functional knowledge of Microsoft Office tools, including Word and Excel
• Willingness to learn and handle other lines of business based on workload and need
• Self-starter with the desire to work in a collaborative environment and provide insight and feedback to other departments
• Ability to communicate effectively with adjusters, co-workers and clients
• Strong analytical skills
• 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: $150,000 - $165,500