Adjusts primary, excess, and delegated cyber claims; analyzes coverage; reviews reservation of rights and denial letters; ensures appropriate reserves; approves TPA funding; audits TPA performance; and prepares reports for underwriters, reinsurers, agents, insureds, and state agencies. The role also collaborates with underwriting, handles contentious claims, maintains claims quality, and requires occasional travel.
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
About UsOur benefitsWe 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.
Canopius New York, New York, USA Office
New York, United States
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