Senior Claims Adjuster, Professional Liability

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee claims reported nationally under primary and excess Miscellaneous Professional E&O, which includes conducting coverage analysis, investigations, liability assessments, potential exposure evaluations, and formulating and executing resolution strategies.

• Communicate effectively and promptly with insured parties, agents, brokers, and underwriters regarding the status and management of claims.

• Assess coverage and draft coverage letters on intricate matters with assistance from in-house coverage counsel.

• Manage claims that are in litigation, collaborating with defense counsel and experts to devise effective defense strategies.

• Establish timely and accurate indemnity and expense reserves, reassessing and updating these reserves appropriately based on claim progress.

• Negotiate settlements and participate in mediations, arbitrations, and trials as necessary.

• Oversee and manage Loss Adjusting Expenses incurred by legal counsel, experts, and vendors.

• Present, evaluate, and provide recommendations on reserves, coverage, and strategic direction.

• Adhere to state guidelines concerning Good Faith Claims Handling.

• Prepare necessary Large Loss Reports and Trial Alerts.

• Engage in professional liability industry organizations and attend instructional seminars for Continuing Education (CE) and Continuing Legal Education (CLE) credits.

• Communicate and interact effectively with all internal and external stakeholders to foster a professional and positive business environment, ensuring that Skyward’s goals and objectives are met.

• Perform additional duties as required due to changes, growth, and ongoing improvement.

⛳️ Requirements

• A minimum of 5 years of experience as an adjuster in Professional Liability, Miscellaneous E&O, Allied Health, Architects and Engineers policies, and/or professional liability insurance defense or coverage experience in a law firm.

• A JD is preferred for candidates but not mandatory.

• Exceptional written and verbal communication abilities.

• Proven experience in effectively managing a substantial workload of primary and excess professional liability claims.

• Highly organized and efficient in a dynamic, multi-tasking environment; capable of prioritizing tasks to achieve objectives creatively and enthusiastically, with minimal supervision.

• Demonstrated comprehensive understanding of state and civil laws, claims practices, and regulatory standards.

• Proven capacity to manage litigated files across multiple jurisdictions.

• Established ability to lead and uphold high standards of claims management performance, quality, and compliance.

• Proven skill in analyzing coverage and drafting coverage letters on complex issues.

• Strong analytical and organizational capabilities.

• Excellent influencing and negotiation skills; proven ability to collaborate and build relationships across teams, stakeholders, and providers.

• Experience in attending and participating in Alternative Dispute Resolutions (ADRs) and mediations, leading to successful and timely claim resolutions.

• Willingness to travel periodically.

• Demonstrates initiative, accountability, adaptability, service motivation, respect for the differences of others, and personal responsibility.

🏝️ Benefits

• Health and welfare benefits

• Tuition and professional certification assistance

• 401k savings plan

• Optional participation in the Employee Stock Purchase Program

• Paid time off

• Paid holidays

• Child bonding leave

• Additional employee assistance programs