Senior Claims Examiner

About This Role

This role is responsible for adjusting primary and excess cyber claims, including reviewing and approving delegated claims that exceed TPA authority. The Senior Claims Examiner analyzes coverage, ensures appropriate coverage letters are sent, and participates in TPA audits and monthly report reviews. They also work 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

Requirements

• Bachelor’s Degree and five or more years of progressive technical claim experience
• Detail-oriented, adaptable and strategic in decision-making
• Thorough technical knowledge of cyber policies and procedures
• 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

Benefits

• Comprehensive benefits package that focuses on whole wellbeing
• Hybrid working
• Non-contributory 401k
• Discretionary bonus
• Insurances including medical, dental and vision cover
• Many other benefits to enhance financial, physical, social and psychological health

About the Company

Canopius is a global specialty lines (re)insurer and one of the leading insurers in the Lloyd’s of London insurance market with offices in the UK, US, Singapore, Australia and Bermuda. Canopius fosters a distinctive, positive culture which enables employees to flourish and build a business that 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.