Lead Claims Adjuster

2 weeks ago

Chicago, Illinois, United States Aspen Insurance Group Full time

Senior Claims Adjuster

Location: Flexible - Hybrid or Remote

Salary Range: $135,960 - $169,950

Aspen Insurance Group, established in 2002, has emerged as a prominent and diversified specialty insurance and reinsurance provider. Our approach is characterized by thoughtful and innovative solutions aimed at achieving optimal outcomes for our clients and business partners.

We emphasize that our work culture is as significant as the tasks we undertake, guided by our core principles of respect, integrity, trust, and professionalism.

Aspen offers a stimulating environment conducive to career growth, where accomplishments are recognized and rewarded.

Position Overview:

Are you prepared to join a vibrant team as a Senior Claims Adjuster? Are you seeking a role that promotes work/life balance? Do you aspire to collaborate with a group that prioritizes ethical practices and delivers exceptional service? Our team is dynamic, supported by experienced managers who are committed to helping their teams achieve their objectives.

This position will support the Healthcare Underwriting Team by serving as a resource for all policies and endorsements, market trends, and claims feedback. The Aspen Values are expected to be reflected in the performance and delivery of every role.

Key Responsibilities:

  • Oversee healthcare claims across various jurisdictions.
  • Timely and accurately analyze and address coverage issues. Draft coverage position letters.
  • Conduct thorough investigations to develop the facts of a claim, ensuring accurate documentation and prompt communication with all relevant parties.
  • Assess complex damages and liability exposures to establish accurate and timely reserves.
  • Manage the litigation process and associated expenses effectively.
  • Proactively oversee a claim inventory and negotiate cases to achieve acceptable resolutions under moderate supervision.
  • Present cases and share expertise during claim committee meetings and customer claim reviews, as necessary.
  • Identify potential fraud and third-party contribution issues and address them appropriately.
  • Comply with all statutory regulations and Unfair Claims Practices Acts.
  • Act as a liaison between Aspen and brokers to maintain loss expense reserves reflective of the company's exposure.
  • Identify exposures to the company and inform senior management of pending claims and litigation that may pose significant risks to Aspen's insureds.
  • Advocate for and embody the Aspen Spirit.
  • Engage in relevant professional, technical, and career development training, including obtaining necessary qualifications.
  • Ensure that company, market, and client-related documentation is issued accurately and promptly.
  • Function as an effective team member by supporting colleagues and contributing to the overall achievement of team and business objectives.
  • Collaborate with associated areas and groups within the business process to foster effective business relationships and organizational efficiency.
  • Perform any other duties of a similar nature as reasonably requested by the company, within the expertise and skills of the jobholder.
  • Partner with underwriting colleagues by attending industry-related meetings when requested.
  • Speak at industry events when invited.

Qualifications:

  • J.D. degree is highly preferred.
  • A minimum of 5 years of relevant claims and/or law firm experience.
  • Extensive knowledge of legislation, regulations, industry standards, and best practices related to insurance and financial services.
  • Significant experience in healthcare professional liability claims.
  • Prior experience in Professional Liability Claims and/or law firm experience defending professionals is preferred.
  • Strong understanding of the insurance industry, particularly in the P&C sector.
  • Relevant professional qualifications in compliance, investments, law, business, or equivalent.
  • Excellent written and verbal communication skills for conveying compliance and regulatory issues to key stakeholders.
  • Preferred knowledge of other professional claims, including those related to lawyers and accountants, as part of the role will involve managing those claims as well.
  • Able to work independently, managing multiple deadlines and tasks efficiently with minimal direction.

At Aspen, we recognize that a diverse and inclusive workforce enhances our operations and benefits our people and the communities we serve. We welcome applications from individuals that contribute to a variety of cultures, perspectives, skills, and experiences.

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