Role Overview
- Manage a portfolio of direct insurance claims across multiple lines and territories, from initial review through resolution, settlement, or litigation.
- Conduct thorough coverage analysis, assess losses and reserves, and negotiate timely settlements with counterparties.
- Lead the handling of complex and disputed claims, including preparation of coverage position letters and management of external counsel where required.
- Oversee and audit TPA-administered claims, including authority referrals and performance monitoring.
- Manage complaint cases in accordance with regulatory guidelines and internal standards.
- Effectively manage external service providers (legal counsel, adjusters, experts) to ensure quality, cost control, and alignment with company objectives.
- Support due diligence for new acquisitions by assessing claims-related risks and opportunities.
- Analyze claims data and trends to identify exposures and improvement opportunities.
- Build strong working relationships with internal stakeholders and external partners.
Requirements
- 2–3+ years of direct claims handling and coverage experience.
- Construction Defect and/or Lloyd’s experience is preferred
- Strong technical understanding of policy language, coverage interpretation, and key legal principles.
- Demonstrated experience handling complex claims and negotiating successful settlements.
- Ability to work independently, manage workload effectively, and prioritize competing deadlines.
- Strong analytical, problem-solving, and strategic thinking skills.
- Bachelor’s degree required (or equivalent experience).
- Proficiency in MS Excel, Word, and claims systems.
- Customer-focused mindset with the ability to build strong internal and external relationships.
- Willingness to expand technical expertise and learn additional claim disciplines over time.
Benefits
- Flex First: A remote-first approach empowering employees to thrive from any location
- Benefits:
o Competitive salary and bonus eligibility
o Medical, dental, vision, EAP, and life insurance
o 401(k) with company match
o Remote worker expenses and health & wellbeing programs
- Personal Development: Ongoing learning and development opportunities
- Time Off: Generous vacation and holiday entitlement, plus STD & LTD coverage
- Engagement: Company off-sites and active employee resource groups (Wellbeing, DEI, Comms & Engagement)